Active NPI
Chronic Care Management Services, LLC
- Multi-Specialty Clinic/Center
- Burlington, NC
National Provider Identifier
1225508153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 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 DirectoryLocations
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.
-
- Addiction (Substance Use Disorder) Counselor
- Durham, NC
- NPI 1760813364
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.