CARECONNECT HEALTH, INC. (NPI# 1538422977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538422977 |
| Entity Type | Organization |
| Organization Name | CARECONNECT HEALTH, INC. |
| Other Organization Name | CARECONNECT CONVENIENT CARE |
| Practice Address |
6005 Watson Blvd Suite 100 Byron GA 31008-6542 |
| Mailing Address |
Po Box 5610 Cordele GA 31010-5610 |
| Practice Telephone | 4789565002 |
| Practice Fax Number | 4789565003 |
| Mailing Telephone | 2292738881 |
| Mailing Fax Number | 2292738985 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | LINDA YOUNG (SECRETARY) |
| Authorized Official Telephone | 2292738881 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Byron Convenient Care | Doing Business As Name - Organization |
| CareConnect Convenient Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467092221 | Careconnect Health, Inc. | Clinic/Center | 130 N Lee St, Forsyth, GA 31029-2122 | 2020-01-09 |
| 1649810714 | Careconnect Health, Inc. | Clinic/Center | 254 Wright Avenue, Roberta, GA 31078 | 2020-01-07 |
| 1437798725 | Careconnect Health, Inc. | Clinic/Center | 414 S Frontage Rd Lot 53, Forsyth, GA 31029-3025 | 2020-01-03 |
| 1184102725 | Careconnect Health, Inc. | Clinic/Center | 9 W Main Street, Alamo, GA 30411 | 2018-08-06 |
| 1528556990 | Careconnect Health, Inc. | Clinic/Center | 1909 Hwy. 82 West, Suites 3 & 4, Tifton, GA 31793 | 2018-05-01 |
| 1801302997 | Careconnect Health, Inc. | Clinic/Center | 209 North Camellia Blvd., Fort Valley, GA 31030 | 2017-12-27 |
| 1679096606 | Careconnect Health, Inc. | Clinic/Center | 110 E 13th Ave, Cordele, GA 31015-4245 | 2017-07-21 |
| 1912432527 | Careconnect Health, Inc. | Clinic/Center | 1909 Us Highway 82 W, Suite 5, Tifton, GA 31793-8200 | 2017-04-21 |
| 1699207050 | Careconnect Health, Inc. | Clinic/Center | 822 S Hill St, Griffin, GA 30224-4842 | 2017-04-03 |
| 1659819357 | Careconnect Health, Inc. | Clinic/Center | 277 Perry Pkwy, Suite C, Perry, GA 31069-8427 | 2017-02-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CARECONNECT HEALTH, INC. | 510 Alston St, Suite B, Richland, GA 31825-6012 |
| Street Address |
6005 WATSON BLVD SUITE 100 |
| City | BYRON |
| State | GA |
| Zip Code | 31008-6542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457895435 | Tanya Rozier Shuttlesworth | Nurse Practitioner | 6005 Watson Blvd, Byron, GA 31008-6542 | 2016-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973566 | Rehoboth Life Care Ministries, Inc | Dentist | 3208 Hwy 41, Byron, Byron, GA 31008 | 2019-10-09 |
| 1265997761 | Caroline Layfield | Specialist/Technologist | 355 Joe Barnes Rd., Byron, GA 31008 | 2019-02-08 |
| 1003346909 | Tara Leeann Butts | Nurse Practitioner | 1960 Highway 247 Conn, Byron, GA 31008 | 2017-06-14 |
| 1114396769 | Physical Medicine Injury Center, LLC | Chiropractor | 218 Highway 49 N, Suite C, Byron, GA 31008 | 2015-09-24 |
| 1215313044 | Georgia Dental Professionals, PC | Dentist | 6005 Watson Blvd Suite 200, Byron, GA 31008 | 2015-08-04 |
| 1366844367 | Middle Georgia Family Rehab | Health Maintenance Organization | 100 Hamilton Pointe Dr., Suite 115 & 120, Byron, GA 31008 | 2014-09-22 |
| 1417377458 | Caring Hearts Companions & Caregivers | In Home Supportive Care | 212 Ga Highway 49 North, Ste 1400, Byron, GA 31008 | 2014-04-17 |
| 1245672724 | Middle Georgia Family Rehab | Case Management | 100 Hamilton Pointe Drive, 115, Byron, GA 31008 | 2013-07-24 |
| 1356783245 | Clarence Hicks | Case Management | 100 Hamilton Pointe Dr, Suite 115 & 120, Byron, GA 31008 | 2013-07-22 |
| 1083859292 | Marylorraine Alcott Spruill | Behavioral Analyst | 693 Cochran Dr, Byron, GA 31008 | 2008-12-03 |
| Find all providers in zip 31008 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1851924377 | Valley Healthcare System | Clinic/Center | 1458 Benning Dr, Columbus, GA 31903-2200 | 2020-02-13 |
| 1952941528 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 400 E Broad St, Savannah, GA 31401-5104 | 2020-01-13 |
| 1023658523 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1407 Cobb Parkway Nw, Marietta, GA 30060-6546 | 2020-01-13 |
| 1467092221 | Careconnect Health, Inc. | Clinic/Center | 130 N Lee St, Forsyth, GA 31029-2122 | 2020-01-09 |
| 1417597238 | The Family Health Centers of Georgia, Inc | Clinic/Center | 19 John Maddox Dr Nw Ste B, Rome, GA 30165-1477 | 2020-01-09 |
| 1649810714 | Careconnect Health, Inc. | Clinic/Center | 254 Wright Avenue, Roberta, GA 31078 | 2020-01-07 |
| 1437798725 | Careconnect Health, Inc. | Clinic/Center | 414 S Frontage Rd Lot 53, Forsyth, GA 31029-3025 | 2020-01-03 |
| 1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.