Provider
360 CHRONIC CARE MANAGEMENT
Public NPPES listing with taxonomy: Nurse Practitioner.
Resource details
Medicare status: Confirm directly
Unknown from NPPES
Source: NPPES NPI Registry
NPI: 1962260232
Taxonomy: Nurse Practitioner (363L00000X)
Source confidence: 58%
Medicare assignment: Unknown from NPPES
Address: 3643 WALTON WAY EXT BLDG 4A2, AUGUSTA, GA, 309094507
Phone: 803-610-1847
Last verified: May 18, 2026