CMS-1500 Box 24J / 33a • NPI
1902213895
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
163WH0200X
CMS-Certified Home Health Care & Skilled Nursing Agency
Box 32 Service Location & ZIP+4
225 MOORE ST, PEARL, MS, 39208-5128
✓ 9-Digit EDI 837 ZIP+4 (39208-5128)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1902213895 (TAMMIE JO ADAMS, RN-BSN, MBA) 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 | 1902213895 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | TAMMIE JO ADAMS, RN-BSN, MBA |
| Plain-English Specialty | CMS-Certified Home Health Care & Skilled Nursing Agency NUCC Code: 163WH0200X (Registered Nurse, Home Health) |
| Certifying / Licensing Body | CMS Home Health Conditions of Participation / CHAP / ACHC |
| Practice Location Address | 225 MOORE ST, PEARL, MS, 39208-5128 |
| Practice Telephone / Fax | Tel: (601) 942-6375 |
| Administrative Mailing Address | 225 MOORE ST, PEARL, MS, 39208-5128 |
| Enumeration & Last Sync | Enumerated: 2014-07-13 | CMS Record Updated: 2014-07-13 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (163WH0200X)
What Does Taxonomy Code 163WH0200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WH0200X translates to:
"CMS-Certified Home Health Care & Skilled Nursing Agency"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (TAMMIE JO ADAMS, RN-BSN, MBA)
Typical CPT / Diagnostic Procedures:- In-Home Skilled Nursing Wound Care, Ostomy & Catheter Management
- Home Intravenous Antibiotic Infusion (OPAT) & Post-Stroke Rehabilitation
- Home Infusion Antimicrobials, Anticoagulants & Insulin Titration
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
163WH0200X — Registered Nurse, Home HealthPlain English: CMS-Certified Home Health Care & Skilled Nursing Agency | State: MS | License: R889314 | Primary: Yes (Primary) |
171M00000X — Case Manager/Care CoordinatorPlain English: Licensed & Credentialed Case Manager/Care Coordinator | State: MS | License: R889314 | Primary: Secondary |
174H00000X — Health EducatorPlain English: Certified Health Education Specialist (CHES / Preventive Patient Education) | State: MS | License: R889314 | Primary: Secondary |
372600000X — Adult CompanionPlain English: Licensed & Credentialed Adult Companion | State: MS | License: R889314 | Primary: Secondary |
3747P1801X — Technician, Personal Care AttendantPlain English: Licensed & Credentialed Technician, Personal Care Attendant | State: MS | License: R889314 | Primary: Secondary |
374U00000X — Home Health AidePlain English: CMS-Certified Home Health Care & Skilled Nursing Agency | State: MS | License: R889314 | Primary: Secondary |
376J00000X — HomemakerPlain English: Licensed & Credentialed Homemaker | State: MS | License: R889314 | Primary: Secondary |
376K00000X — Nurse's AidePlain English: Licensed & Credentialed Nurse's Aide | State: MS | License: R889314 | Primary: Secondary |
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