MY CHRONIC CARE MANAGEMENT
NPI 1164045548
Clinic/Center - Pain in Marietta, GA

NPI Status: Active since May 20, 2020

Contact Information

20 WHITLOCK PL SW STE 101
MARIETTA, GA
ZIP 30064
Phone: (770) 635-7166
Fax: (404) 591-8002

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  • Organization
  • Clinic/Center
  • Pain

About MY CHRONIC CARE MANAGEMENT

This page provides the complete NPI Profile along with additional information for My Chronic Care Management, a provider established in Marietta, Georgia operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1164045548 assigned on May 2020. The practitioner's primary taxonomy code is 261QP3300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Maurice L Woodard (President)

NPI
1164045548
Provider Name
MY CHRONIC CARE MANAGEMENT
Entity Type
Organization
Location Address
20 WHITLOCK PL SW STE 101 MARIETTA, GA 30064
Location Phone
(770) 635-7166
Location Fax
(404) 591-8002
Mailing Address
PO BOX 2198 KENNESAW, GA 30156
Mailing Phone
(770) 635-7166
Mailing Fax
(404) 591-8002
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2020
Last Update Date
10-20-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Pain

Taxonomy Code
261QP3300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MAURICE L WOODARD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(404) 309-5200

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164045548, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 0 → 0 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 0 + 4 + 1 + 0 + 5 + 8 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1164045548.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
20 WHITLOCK PL SW STE 101
MARIETTA, GA 30064

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164045548, enumerated as an "organization" on May 20, 2020.

The provider is located at 20 WHITLOCK PL SW STE 101 MARIETTA, GA 30064 and the phone number is (770) 635-7166.

Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.