CARECONNECT HEALTH, INC. (NPI# 1619357860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619357860 |
| Entity Type | Organization |
| Organization Name | CARECONNECT HEALTH, INC. |
| Other Organization Name | CARECONNECT SCHOOL CLINIC |
| Practice Address |
140 Merrell St Cusseta GA 31805-3022 |
| Mailing Address |
Po Box 5610 Cordele GA 31010-5610 |
| Practice Telephone | 7069891365 |
| Practice Fax Number | 7069891366 |
| Mailing Telephone | 2292738881 |
| Mailing Fax Number | 2292738985 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | LINDA YOUNG (SSECRETARY) |
| Authorized Official Telephone | 2298873324 |
| 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 |
|---|---|
| CareConnect School Clinic | 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 |
140 MERRELL ST |
| City | CUSSETA |
| State | GA |
| Zip Code | 31805-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386026573 | Krista Marie Cassel | Nurse Practitioner | 140 Merrell St, Cusseta, GA 31805-3022 | 2015-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700840501 | Chattahoochee Board of Health | Public Health or Welfare | 213 Mcnaughton St, Cusseta, GA 31805-3013 | 2006-04-17 |
| 1972646669 | Pamela J Harlan | Nurse Practitioner | 213 Mcnaughton St, Cusseta, GA 31805-3013 | 2007-02-14 |
| 1154891794 | Careconnect Health, Inc | Clinic/Center | 360 Ga Highway 26, Cusseta, GA 31805-3100 | 2018-11-27 |
| 1780964668 | Jessica Roberson Brown | Physician Assistant | 298 Us Highway 520, Cusseta, GA 31805-3602 | 2011-08-23 |
| 1679689558 | Careconnect Health, Inc. | Clinic/Center | 298 Us Hwy 520, Cusseta, GA 31805-3602 | 2006-08-22 |
| 1083832349 | Chattahoochee County School System | Physical Therapist | 326 Broad St, Cusseta, GA 31805-3708 | 2007-04-23 |
| 1871931824 | Angela Sims | Speech-Language Pathologist | 243 Gordy Mill Pond Rd, Cusseta, GA 31805-3721 | 2013-06-12 |
| 1962929802 | Audra Michelle Allen | Registered Nurse | 102 Marthas Loop, Cusseta, GA 31805-3820 | 2017-08-22 |
| 1255943478 | David Williams Jr. | Technician | 126 Thompson St, Cusseta, GA 31805-3945 | 2020-08-19 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891794 | Careconnect Health, Inc | Clinic/Center | 360 Ga Highway 26, Cusseta, GA 31805-3100 | 2018-11-27 |
| 1679689558 | Careconnect Health, Inc. | Clinic/Center | 298 Us Hwy 520, Cusseta, GA 31805-3602 | 2006-08-22 |
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|---|---|---|---|---|
| 1891395620 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 8a Probasco Street Unit 214, Lafayette, GA 30728 | 2020-10-30 |
| 1366066243 | Health Education Assessment and Leadership Inc | Clinic/Center | 225 Griffin St Nw, Atlanta, GA 30314-3917 | 2020-06-05 |
| 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 |
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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.