CARECONNECT HEALTH, INC. (NPI# 1962410613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962410613 |
| Entity Type | Organization |
| Organization Name | CARECONNECT HEALTH, INC. |
| Other Organization Name | CARECONNECT FAMILY PRACTICE |
| Practice Address |
23 Old School Road Georgetown GA 39854-4627 |
| Mailing Address |
P.o. Box 5610 Cordele GA 31010-1514 |
| Practice Telephone | 2293349353 |
| Practice Fax Number | 2293346983 |
| Mailing Telephone | 2293349353 |
| Mailing Fax Number | 2293346983 |
| Enumeration Date | 2006-08-04 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000219678E | 05 |
| Other Name | Type Code |
|---|---|
| CareConnect Family Practice | 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 |
23 OLD SCHOOL ROAD |
| City | GEORGETOWN |
| State | GA |
| Zip Code | 39854-4627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821220385 | Unified Government of Georgetown-quitman County Georgia | Ambulance | 845 Hwy 82, Georgetown, GA 39854 | 2009-08-18 |
| 1770629909 | New Horizons Csb Quitman Adult Services | Counselor | Government and Health Comples, Building 4 Harrison St., Georgetown, GA 39854 | 2007-01-29 |
| 1508938804 | Quitman County School System | Local Education Agency (LEA) | 178 Kaigler Road, Georgetown, GA 39854 | 2006-11-14 |
| 1821025875 | Quitman County Board of Health | Public Health or Welfare | 105 Main Street, Georgetown, GA 39854 | 2006-06-26 |
| 1154962223 | Margaret Mae Babcock | Student in an Organized Health Care Education/Training Program | 8 Rosalyn Rd, Georgetown, GA 39854-4241 | 2019-09-30 |
| 1295023877 | Inman Enterprises | Private Vehicle | 106 Main St, Georgetown, GA 39854-4448 | 2011-07-15 |
| 1104971464 | Careconnect Health, Inc | Clinic/Center | 23 Old School Rd, Georgetown, GA 39854-4627 | 2007-01-24 |
| 1205824869 | Rebecca Broschart | Family Medicine | 41 Old School Rd, Georgetown, GA 39854-4627 | 2005-10-07 |
| 1235460833 | Aretha Tinson | Nurse Practitioner | 23 Old School Rd, Georgetown, GA 39854-4627 | 2010-01-21 |
| 1982939070 | Carmen Campbell Trawick | Nurse Practitioner | 23 Old School Rd, Georgetown, GA 39854-4627 | 2009-10-07 |
| Find all providers in zip 39854 | ||||
| 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 |
|---|---|---|---|---|
| 1104971464 | Careconnect Health, Inc | Clinic/Center | 23 Old School Rd, Georgetown, GA 39854-4627 | 2007-01-24 |
| 1700832185 | La Red Health Center Inc | Clinic/Center | 21444 Carmean Way, Georgetown, DE 19947-4572 | 2006-05-26 |
| 1538670419 | Lone Star Circle of Care | Clinic/Center | 205 E University Ave Ste 200, Georgetown, TX 78626-6821 | 2017-10-18 |
| 1316345846 | St James Santee Family Health Center Inc | Clinic/Center | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2014-12-16 |
| 1972866200 | Lone Star Circle of Care | Clinic/Center | 1900 Scenic Dr, Suite 3326, Georgetown, TX 78626-7724 | 2012-06-21 |
| 1669603361 | Lone Star Circle of Care | Clinic/Center | 2423 Williams Dr, Georgetown, TX 78628-3200 | 2009-07-30 |
| 1437390705 | Lone Star Circle of Care | Clinic/Center | 2423 Williams Dr, Georgetown, TX 78628-3200 | 2009-03-17 |
| 1811171978 | La Red Health Center Inc | Clinic/Center | 21444 Carmean Way, Georgetown, DE 19947-4572 | 2007-12-26 |
| 1962683599 | Lone Star Circle of Care | Clinic/Center | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2007-11-26 |
| 1770764300 | Lone Star Circle of Care | Clinic/Center | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2007-11-26 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 39854 |
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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.