My Chronic Care Management LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MY CHRONIC CARE MANAGEMENT LLC

Practice address

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

Phone

(770) 635-7166

Fax

(404) 591-8002

NPI assigned

Jun 23, 2020

Last updated

Jun 23, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

MY CHRONIC CARE MANAGEMENT LLCAs reported in NPPES

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

Authorized official

Name

Maurice L. Woodard

Title

Owner

Phone

(404) 309-5200

Specialties & licenses 1

Addresses

Part of

My Chronic Care Management LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• My Chronic Care Management

  • Pain Clinic/Center
  • Marietta, GA
  • NPI 1164045548
  NPPES parent name

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.

• Otis Samuel Powell Jr., M.D.

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1285654301
  NPD (past)

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1750907085",
    "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": [
        {
            "address_1": "20 Whitlock Pl SW Ste 101",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300643176",
            "country_code": "US",
            "telephone_number": "770-635-7166",
            "fax_number": "404-591-8002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY CHRONIC CARE MANAGEMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MY CHRONIC CARE MANAGEMENT LLC",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-309-5200"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Durable Medical Equipment & Medical Supplies in Marietta, GA
• Providers in Marietta, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.