Organization Active NPI

Chronic Care Management Services, LLC

  • Multi-Specialty Clinic/Center
  • Burlington, NC
National Provider Identifier
1225508153
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CHRONIC CARE MANAGEMENT SERVICES, LLC
Practice address
1115 S Church St
Burlington, NC 27215-5047
Phone
(336) 438-0212
Fax
(919) 471-5475
NPI assigned
Dec 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Authorized official

Name
Jason Geartz
Title
Billing Manager / Human Resources
Phone
(336) 438-0212

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X
Community/Behavioral Health Agency 251S00000X
Adult Mental Health Clinic/Center 261QM0850X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1115 S Church St
Burlington, NC 27215-5047

Mailing address

1115 S Church St
Burlington, NC 27215-5047
Phone (336) 438-0212

National Provider Directory

National Provider Directory

Locations

1115 S Church St
Burlington, NC 27215
Phone (336) 438-0212

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": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1225508153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 S CHURCH ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155047",
            "telephone_number": "336-438-0212",
            "fax_number": "919-471-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S CHURCH ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155047",
            "telephone_number": "336-438-0212",
            "fax_number": "919-471-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRONIC CARE MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "GEARTZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "BILLING MANAGER / HUMAN RESOURCES",
        "authorized_official_telephone_number": "336-438-0212"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.