My Chronic Care Management

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

MY CHRONIC CARE MANAGEMENT

Practice address

20 Whitlock PL SW Ste 101
Marietta, GA 30064-3176

Phone

(770) 635-7166

Fax

(404) 591-8002

NPI assigned

May 20, 2020

Organization subpart

No

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

Authorized official

Name

Maurice L Woodard

Title

President

Phone

(404) 309-5200

Specialties & licenses 2

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• My Chronic Care Management LLC

  • Durable Medical Equipment & Medical Supplies
  • Marietta, GA
  • NPI 1750907085
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melody Ann Woodard, P.T.

  • Physical Therapist
  • Kennesaw, GA
  • NPI 1831477660
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1164045548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2198",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301569102",
            "telephone_number": "770-635-7166",
            "fax_number": "404-591-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WHITLOCK PL SW STE 101",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643176",
            "telephone_number": "770-635-7166",
            "fax_number": "404-591-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY CHRONIC CARE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-309-5200"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda V Mutzberg, CNM
• Niisi N Mwanaliti, RBT
• Venetta Diale Belowe Mwengella, NP-C
• Pule Mwenya, NP
• My Associates,LLC
• My Chronic Care Management LLC
• My East Cobb Dentist, PC
• My Emergency Dental Ga LLC
• My Medical Transporter
• Caleb Joshua Myers, LPC

• Pain Clinic/Center in Marietta, GA
• Providers in Marietta, GA by specialty
• Pain Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.