Active NPI
Nurse Care Management Solutions
- Case Management Agency
- Irmo, SC
National Provider Identifier
1164010047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- NURSE CARE MANAGEMENT SOLUTIONS
- Practice address
- 312 Glen Arbor Loop
Irmo, SC 29063-8881 - Phone
- (855) 222-0083
- Fax
- (855) 222-0084
- NPI assigned
- Jan 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chryste Middleton, RN
- Title
- Owner
- Phone
- (770) 856-1780
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
312 Glen Arbor Loop
Irmo, SC 29063-8881
Mailing address
312 Glen Arbor Loop
Irmo, SC 29063-8881
Phone (855) 222-0083
Other names 2
- Nurse Care Management Solutions, LLC
- Nurse Care Management Solutions
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210114000429 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 7315350295 | Practice locations: Irmo, SC |
| O20210315002342 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7315350295 | Practice locations: Irmo, SC |
| O20210428003173 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7315350295 | Practice locations: Atlanta, GA |
National Provider Directory
National Provider DirectoryLocations
148 Glenwood Ave SE
Atlanta, GA 30312
Phone (404) 907-3936
9138 Liberty Rd
Randallstown, MD 21133
Phone (770) 856-1780
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Management Registered Nurse
- Irmo, SC
- NPI 1750979969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616457600000",
"number": "1164010047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 GLEN ARBOR LOOP",
"city": "IRMO",
"state": "SC",
"postal_code": "290638881",
"telephone_number": "855-222-0083",
"fax_number": "855-222-0084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 GLEN ARBOR LOOP",
"city": "IRMO",
"state": "SC",
"postal_code": "290638881",
"telephone_number": "855-222-0083",
"fax_number": "855-222-0084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURSE CARE MANAGEMENT SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-06",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A",
"authorized_official_last_name": "MIDDLETON",
"authorized_official_first_name": "CHRYSTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-856-1780",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nurse Care Management Solutions, LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Nurse Care Management Solutions",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Irmo, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.