Active NPI
360 Chronic Care Management
- Nurse Practitioner
- Aiken, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- 360 CHRONIC CARE MANAGEMENT
- Practice address
- 35 Varden Dr Ste a-1
Aiken, SC 29803-5275 - Phone
- (803) 243-1066
- Fax
- (803) 226-0335
- NPI assigned
- Mar 11, 2024
- Last updated
- Jun 24, 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
- Juanethea Bryantlord, MVHWC
- Title
- Business Owner
- Phone
- (803) 243-1066
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | |||
| General Practice Registered Nurse | 163WG0000X | |||
| Gerontology Registered Nurse | 163WG0600X | |||
| Nutrition Support Registered Nurse | 163WN1003X | |||
| Licensed Practical Nurse | 164W00000X | |||
| Massage Therapist | 225700000X | |||
| Nurse Practitioner | 363L00000X | Primary | ||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Community Health Nurse Practitioner | 363LC1500X | |||
| Gerontology Nurse Practitioner | 363LG0600X | |||
| Primary Care Nurse Practitioner | 363LP2300X | |||
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | |||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | |||
| Health & Wellness Coach | 171400000X |
Addresses
Primary practice location
35 Varden Dr Ste a-1
Aiken, SC 29803-5275
Mailing address
35 Varden Dr Ste a-1
Aiken, SC 29803-5275
Phone (803) 243-1066
Other practice location 1
41 W Second St
Vanceburg, KY 41179-5441
Phone (803) 610-1847
Other practice location 2
3643 Walton Way Ext Bldg 4A2
Augusta, GA 30909-4507
Phone (803) 610-1847
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PG2956 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3643 Walton Way Ext
Bldg 4A2
Augusta, GA 30909
Phone (803) 610-1847
35 Varden Dr
#A1
Aiken, SC 29803
Phone (803) 226-0236
35 Varden Dr
Ste A
Aiken, SC 29803
Phone (803) 226-0236
35 Varden Dr
Ste A1
Aiken, SC 29803
Phone (803) 226-0236
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Health & Wellness Coach
- Aiken, SC
- NPI 1588201370
-
- Licensed Practical Nurse
- Aiken, SC
- NPI 1992680946
-
- Case Management Registered Nurse
- Vanceburg, KY
- NPI 1831956341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750723200000",
"number": "1962260232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 VARDEN DR STE A-1",
"city": "AIKEN",
"state": "SC",
"postal_code": "298035275",
"telephone_number": "803-243-1066",
"fax_number": "803-226-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 VARDEN DR STE A-1",
"city": "AIKEN",
"state": "SC",
"postal_code": "298035275",
"telephone_number": "803-243-1066",
"fax_number": "803-226-0335"
}
],
"practiceLocations": [
{
"address_1": "41 W Second St",
"address_purpose": "LOCATION",
"city": "Vanceburg",
"state": "KY",
"postal_code": "411795441",
"country_code": "US",
"telephone_number": "803-610-1847",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3643 Walton Way Ext Bldg 4A2",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309094507",
"country_code": "US",
"telephone_number": "803-610-1847",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "360 CHRONIC CARE MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-11",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A",
"authorized_official_last_name": "BRYANTLORD",
"authorized_official_first_name": "JUANETHEA",
"authorized_official_title_or_position": "BUSINESS OWNER",
"authorized_official_telephone_number": "803-243-1066",
"authorized_official_credential": "MVHWC"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WN1003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nutrition Support",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PG2956",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.