Active NPI
Quality Chronic Care Management LLC
- Nurse Practitioner
- Suwanee, GA
National Provider Identifier
1295602647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- QUALITY CHRONIC CARE MANAGEMENT LLC
- Practice address
- 2241 Dawn CT
Suwanee, GA 30024-2732 - Phone
- (678) 751-1776
- Fax
- (888) 220-6375
- NPI assigned
- Oct 21, 2025
- Last updated
- Oct 21, 2025
- 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
- Chanthyma Phengphanh, MS
- Title
- Member
- Phone
- (678) 751-1776
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
2241 Dawn CT
Suwanee, GA 30024-2732
Mailing address
2241 Dawn CT
Suwanee, GA 30024-2732
Phone (678) 751-1776
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Religious Nonmedical Nursing Personnel
- Bainbridge, GA
- NPI 1306439328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761004800000",
"number": "1295602647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2241 DAWN CT",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300242732",
"telephone_number": "678-751-1776",
"fax_number": "888-220-6375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2241 DAWN CT",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300242732",
"telephone_number": "678-751-1776",
"fax_number": "888-220-6375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY CHRONIC CARE MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-21",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A",
"authorized_official_last_name": "PHENGPHANH",
"authorized_official_first_name": "CHANTHYMA",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "678-751-1776",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.