CMS-1500 Box 24J / 33a • NPI
1861219446
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
363LA2200X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health
Box 32 Service Location & ZIP+4
165 STALLION RD STE A, INMAN, SC, 29349-8511
✓ 9-Digit EDI 837 ZIP+4 (29349-8511)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1861219446 (DEEL INITIAVE INC) 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 | 1861219446 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | DEEL INITIAVE INC |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health NUCC Code: 363LA2200X (Nurse Practitioner, Adult Health) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 165 STALLION RD STE A, INMAN, SC, 29349-8511 |
| Practice Telephone / Fax | Tel: (864) 304-5982 | Fax: (828) 570-5272 |
| Administrative Mailing Address | 165 STALLION RD STE A, INMAN, SC, 29349-8511 |
| Enumeration & Last Sync | Enumerated: 2024-09-24 | CMS Record Updated: 2026-10-13 |
| Authorized Official | GERALD DEEL (Dr / Director) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (363LA2200X)
What Does Taxonomy Code 363LA2200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LA2200X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DEEL INITIAVE INC)
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
- 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 |
|---|---|
207QA0401X — Family Medicine, Addiction MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: N/A | License: Verified | Primary: Secondary |
363LA2200X — Nurse Practitioner, Adult HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health | State: N/A | License: Verified | Primary: Yes (Primary) |
363LP0808X — Nurse Practitioner, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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