CIAO BELLA MEDICAL CENTER AND SPA — NPI 1821330648 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in NEWNAN, GA)

CMS-1500 Box 24J / 33a • NPI

1821330648

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QM2500X

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

175 JEFFERSON PKWY, NEWNAN, GA, 30263-5823

✓ 9-Digit EDI 837 ZIP+4 (30263-5823)

Practice Phone & Referral Fax

(770) 683-9136

Fax: (770) 683-9148

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1821330648 (CIAO BELLA MEDICAL CENTER AND SPA) 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1821330648` (NPI-2 Organization / Facility)
Provider / Legal Name	CIAO BELLA MEDICAL CENTER AND SPA
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QM2500X` (Clinic/Center, Medical Specialty)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	175 JEFFERSON PKWY, NEWNAN, GA, 30263-5823
Practice Telephone / Fax	Tel: (770) 683-9136 \| Fax: (770) 683-9148
Administrative Mailing Address	6400 INDUSTRIAL LOOP, GREENDALE, WI, 53129-2452
Enumeration & Last Sync	Enumerated: 2013-03-19 \| CMS Record Updated: 2022-03-10
Authorized Official	LATOYA STEPHENS (Owner/Physician)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

175 JEFFERSON PKWY, NEWNAN, GA, 30263-5823

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Plain-English Taxonomy & CMS Crosswalk (261QM2500X)

What Does Taxonomy Code 261QM2500X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM2500X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CIAO BELLA MEDICAL CENTER AND SPA)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QM2500X` — Clinic/Center, Medical Specialty Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: GA \| License: `58512` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CIAO BELLA MEDICAL CENTER AND SPA (NPI #1821330648)