NPI
360 Chronic Care Management
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2024-03-11
- Last updated
- 2025-06-24
Specialties
- 163WC0400XRegistered Nurse, Case Management
- 164W00000XLicensed Practical Nurse
- 163WG0000XRegistered Nurse, General Practice
- 163WG0600XRegistered Nurse, Gerontology
- 163WN1003XRegistered Nurse, Nutrition Support
- 171400000XHealth & Wellness Coach
- 207QH0002XFamily Medicine, Hospice and Palliative Medicine
- 207RH0002XInternal Medicine, Hospice and Palliative Medicine
- 225700000XMassage Therapist
- 363LA2200XNurse Practitioner, Adult Health
- 363LC1500XNurse Practitioner, Community Health
- 363LG0600XNurse Practitioner, Gerontology
- 363LP2300XNurse Practitioner, Primary Care
- 363L00000XNurse Practitioner
Licenses
The registry row did not include a license.
Location
- Practice location
- 35 Varden Dr Ste A-1
- City
- Aiken SC
- Postal code
- 29803-5275
- Phone
- (803) 243-1066
Organization contact
- Name
- JUANETHEA BRYANTLORD
- Title
- Business Owner
- Phone
- 8032431066
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Aiken, SC. 1,947 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.