CMS-1500 Box 24J / 33a • NPI
1952282295
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
171400000X
Licensed & Credentialed Health & Wellness Coach
Box 32 Service Location & ZIP+4
3214 BROOKSONG WAY, DACULA, GA, 30019-4507
✓ 9-Digit EDI 837 ZIP+4 (30019-4507)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1952282295 (KILA ACEY) 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 | 1952282295 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KILA ACEY |
| Plain-English Specialty | Licensed & Credentialed Health & Wellness Coach NUCC Code: 171400000X (Health & Wellness Coach) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 3214 BROOKSONG WAY, DACULA, GA, 30019-4507 |
| Practice Telephone / Fax | Tel: (770) 616-5017 |
| Administrative Mailing Address | 2700 BRASELTON HWY STE 10-66, DACULA, GA, 30019-3262 |
| Enumeration & Last Sync | Enumerated: 2025-09-11 | CMS Record Updated: 2025-09-12 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (171400000X)
What Does Taxonomy Code 171400000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171400000X translates to:
"Licensed & Credentialed Health & Wellness Coach"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KILA ACEY)
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 |
|---|---|
221700000X — Art TherapistPlain English: Licensed & Credentialed Art Therapist | State: GA | License: NCCAP50288814-24NT | Primary: Secondary |
251C00000X — Day Training, Developmentally Disabled ServicesPlain English: Licensed & Credentialed Day Training, Developmentally Disabled Services | State: GA | License: Verified | Primary: Secondary |
251G00000X — Hospice Care, Community BasedPlain English: Licensed & Credentialed Agencies — Hospice Care, Community Based | State: GA | License: Verified | Primary: Secondary |
261QA0600X — Clinic/Center, Adult Day CarePlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: GA | License: Verified | Primary: Secondary |
310400000X — Assisted Living FacilityPlain English: Licensed & Credentialed Assisted Living Facility | State: GA | License: ALCA000869 | Primary: Secondary |
311500000X — Alzheimer Center (Dementia Center)Plain English: Licensed & Credentialed Alzheimer Center (Dementia Center) | State: GA | License: Verified | Primary: Secondary |
372600000X — Adult CompanionPlain English: Licensed & Credentialed Adult Companion | State: GA | License: Verified | Primary: Secondary |
374J00000X — DoulaPlain English: Licensed & Credentialed Doula | State: GA | License: Verified | Primary: Secondary |
171400000X — Health & Wellness CoachPlain English: Licensed & Credentialed Health & Wellness Coach | State: GA | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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