A HEALTHY YOU MEDICAL CLINIC, "L.L.C." — NPI 1982140448 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers

CMS-1500 Box 24J / 33a • NPI

1982140448

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

363L00000X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner

Box 32 Service Location & ZIP+4

1202 DESOTO AVE, SUITE A, CLARKSDALE, MS, 38614-6937

✓ 9-Digit EDI 837 ZIP+4 (38614-6937)

Practice Phone & Referral Fax

(662) 209-1202

Fax: (662) 483-1627

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1982140448 (A HEALTHY YOU MEDICAL CLINIC, "L.L.C.") 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	`1982140448` (NPI-2 Organization / Facility)
Provider / Legal Name	A HEALTHY YOU MEDICAL CLINIC, "L.L.C."
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner NUCC Code: `363L00000X` (Nurse Practitioner)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1202 DESOTO AVE, SUITE A, CLARKSDALE, MS, 38614-6937
Practice Telephone / Fax	Tel: (662) 209-1202 \| Fax: (662) 483-1627
Administrative Mailing Address	1202 DESOTO AVE, CLARKSDALE, MS, 38614-6937
Enumeration & Last Sync	Enumerated: 2017-01-09 \| CMS Record Updated: 2019-05-20
Authorized Official	LULA HOSKINS (Provider)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1202 DESOTO AVE, SUITE A, CLARKSDALE, MS, 38614-6937

🗺️ Open in Google Maps 🏥 More Providers in CLARKSDALE

🔒 Are you A HEALTHY YOU MEDICAL CLINIC, "L.L.C."? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (363L00000X)

What Does Taxonomy Code 363L00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363L00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (A HEALTHY YOU MEDICAL CLINIC, "L.L.C.")

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
`363L00000X` — Nurse Practitioner Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

A HEALTHY YOU MEDICAL CLINIC, "L.L.C." (NPI #1982140448)