PEACE WELLNESS MOBILE UNIT — NPI 1831460591 (Licensed & Credentialed Early Intervention Provider Agency in DURANT, MS)

CMS-1500 Box 24J / 33a • NPI

1831460591

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

252Y00000X

Licensed & Credentialed Early Intervention Provider Agency

Box 32 Service Location & ZIP+4

638 NORTHWEST AVE, DURANT, MS, 39063-3337

✓ 9-Digit EDI 837 ZIP+4 (39063-3337)

Practice Phone & Referral Fax

(601) 842-7107

Fax: (800) 517-7659

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1831460591 (PEACE WELLNESS MOBILE UNIT) 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	`1831460591` (NPI-2 Organization / Facility)
Provider / Legal Name	PEACE WELLNESS MOBILE UNIT
Plain-English Specialty	Licensed & Credentialed Early Intervention Provider Agency NUCC Code: `252Y00000X` (Early Intervention Provider Agency)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	638 NORTHWEST AVE, DURANT, MS, 39063-3337
Practice Telephone / Fax	Tel: (601) 842-7107 \| Fax: (800) 517-7659
Administrative Mailing Address	PO BOX 93, VAIDEN, MS, 39176-0093
Enumeration & Last Sync	Enumerated: 2012-01-25 \| CMS Record Updated: 2012-01-25
Authorized Official	PAMELA JARRETT (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

638 NORTHWEST AVE, DURANT, MS, 39063-3337

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Plain-English Taxonomy & CMS Crosswalk (252Y00000X)

What Does Taxonomy Code 252Y00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 252Y00000X translates to:
"Licensed & Credentialed Early Intervention Provider Agency"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Early Intervention Provider Agency for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (PEACE WELLNESS MOBILE UNIT)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`252Y00000X` — Early Intervention Provider Agency Plain English: Licensed & Credentialed Early Intervention Provider Agency	State: MS \| License: `983935` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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PEACE WELLNESS MOBILE UNIT (NPI #1831460591)