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