MY CHRONIC CARE MANAGEMENT
NPI 1164045548
Clinic/Center - Pain in Marietta, GA

NPI Status: Active since May 20, 2020

Contact Information

20 WHITLOCK PL SW STE 101
MARIETTA, GA
ZIP 30064
Phone: (770) 635-7166
Fax: (404) 591-8002

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  • Organization
  • Clinic/Center
  • Pain

About MY CHRONIC CARE MANAGEMENT

This page provides the complete NPI Profile along with additional information for My Chronic Care Management, a provider established in Marietta, Georgia operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1164045548 assigned on May 2020. The practitioner's primary taxonomy code is 261QP3300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Maurice L Woodard (President)

NPI
1164045548
Provider Name
MY CHRONIC CARE MANAGEMENT
Entity Type
Organization
Location Address
20 WHITLOCK PL SW STE 101 MARIETTA, GA 30064
Location Phone
(770) 635-7166
Location Fax
(404) 591-8002
Mailing Address
PO BOX 2198 KENNESAW, GA 30156
Mailing Phone
(770) 635-7166
Mailing Fax
(404) 591-8002
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2020
Last Update Date
10-20-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Pain

Taxonomy Code
261QP3300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MAURICE L WOODARD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(404) 309-5200

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164045548
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124041058
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 0 + 4 + 1 + 0 + 5 + 8 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1164045548 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750907085MY CHRONIC CARE MANAGEMENT LLC
Organization
Durable Medical Equipment & Medical Supplies20 WHITLOCK PL SW STE 101
MARIETTA, GA 30064
(770) 635-7166

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164045548, enumerated in the NPI registry as an "organization" on May 20, 2020

The provider is located at 20 Whitlock Pl Sw Ste 101 Marietta, Ga 30064 and the phone number is (770) 635-7166

This medical organization specializes in Clinic/Center with taxonomy code 261QP3300X with a focus in Pain

This NPI record was last updated on May 20, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.