Active NPI
United Chronic Care Management LLC
- Adult Medicine Physician
- Phenix City, AL
National Provider Identifier
1669287462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- UNITED CHRONIC CARE MANAGEMENT LLC
- Practice address
- 5408 Summerville Rd Ste 155-491
Phenix City, AL 36867-7480 - Phone
- (888) 780-8226
- NPI assigned
- Feb 10, 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
- Mr. Theron Henry
- Title
- Owner/Founder
- Phone
- (888) 780-8226
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Adult Medicine Physician | 207QA0505X | Primary |
Addresses
Primary practice location
5408 Summerville Rd Ste 155-491
Phenix City, AL 36867-7480
Mailing address
5408 Summerville Rd Ste 155-491
Phenix City, AL 36867-7480
Phone (888) 780-8226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739145600000",
"number": "1669287462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5408 SUMMERVILLE RD STE 155-491",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368677480",
"telephone_number": "888-780-8226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5408 SUMMERVILLE RD STE 155-491",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368677480",
"telephone_number": "888-780-8226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED CHRONIC CARE MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-10",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A",
"authorized_official_last_name": "HENRY",
"authorized_official_first_name": "THERON",
"authorized_official_title_or_position": "OWNER/FOUNDER",
"authorized_official_telephone_number": "888-780-8226",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phenix City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.