Organization Active NPI

Nurse Care Management Solutions

  • Case Management Agency
  • Irmo, SC
National Provider Identifier
1164010047
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Mar 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chryste Middleton, RNNPI 1750979969
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)CodeLicenseStatePrimary
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 Doing business as
  • Nurse Care Management Solutions Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.