360 Chronic Care Management
NPI 1962260232ActiveOrganization· Nurse Practitioner· Aiken, SC
Nurse Practitioner in Aiken, South Carolina, registered in NPPES in March 2024. The authorized official on file is Juanethea Bryantlord, MVHWC, Business Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962260232 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 11, 2024 |
| Last updated in NPPES | Jun 24, 2025 |
| Certified by provider | Jun 24, 2025 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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