CMS-1500 Box 24J / 33a • NPI
1801530332
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
261QM0801X (CMS B4[14])
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
7180 SOUTHLAKE PKWY, MORROW, GA, 30260-4178
✓ 9-Digit EDI 837 ZIP+4 (30260-4178)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1801530332 (SOPHIA MARIE ARTIST, RN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1801530332 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SOPHIA MARIE ARTIST, RN |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QM0801X (Clinic/Center, Mental Health (Including Community Mental Health Center)) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 7180 SOUTHLAKE PKWY, MORROW, GA, 30260-4178 |
| Practice Telephone / Fax | Tel: (770) 968-6994 |
| Administrative Mailing Address | 3424 BAYLOR CIR, MCDONOUGH, GA, 30253-6157 |
| Enumeration & Last Sync | Enumerated: 2022-04-21 | CMS Record Updated: 2022-06-16 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (261QM0801X)
What Does Taxonomy Code 261QM0801X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM0801X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SOPHIA MARIE ARTIST, RN)
Typical CPT / Diagnostic Procedures:- Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
- Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
163WA2000X — Registered Nurse, AdministratorPlain English: Licensed & Credentialed Registered Nurse, Administrator | State: GA | License: rn285743 | Primary: Secondary |
163WC1500X — Registered Nurse, Community HealthPlain English: Licensed & Credentialed Registered Nurse, Community Health | State: GA | License: rn285743 | Primary: Secondary |
163WC1600X — Registered Nurse, Continuing Education/Staff DevelopmentPlain English: Licensed & Credentialed Registered Nurse, Continuing Education/Staff Development | State: GA | License: rn285743 | Primary: Secondary |
174200000X — MealsPlain English: Licensed & Credentialed Meals | State: N/A | License: Verified | Primary: Secondary |
251S00000X — Community/Behavioral HealthPlain English: Licensed & Credentialed Community/Behavioral Health | State: N/A | License: Verified | Primary: Secondary |
261QA0600X — Clinic/Center, Adult Day CarePlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
261QR1300X — Clinic/Center, Rural HealthPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
385H00000X — Respite CarePlain English: Licensed & Credentialed Respite Care | State: N/A | License: Verified | Primary: Secondary |
261QM0801X — Clinic/Center, Mental Health (Including Community Mental Health Center)Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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