Careconnect Health, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CARECONNECT HEALTH, INC.

Practice address

1007 E 16TH Ave
Suite a
Cordele, GA 31015-4549

Phone

(229) 273-1716

Fax

(229) 273-1720

NPI assigned

May 3, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Linda Young

Title

Secretary

Phone

(229) 273-8881

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Federally qualified health center certification: CCN 111039

Legal name

CARECONNECT HEALTH INC

Doing business as

PEDIATRIC URGENT CARE

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jun 22, 2016

Last certification

Jun 22, 2016

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Nov 7, 1980 in GA

Enrollment address

1007 E 16TH Ave
Ste a
Cordele, GA 31015-4553

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Careconnect Health Inc51 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Careconnect Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Griffin, GA
  • NPI 1083183180
  NPD tax ID
• Careconnect Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Buena Vista, GA
  • NPI 1154891794
  NPD tax ID
• Careconnect Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Americus, GA
  • NPI 1225228307
  NPD tax ID
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Moultrie, GA
  • NPI 1013848928
  NPD tax ID
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Eastman, GA
  • NPI 1043440340
  NPD tax ID
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Richland, GA
  • NPI 1063422038
  NPD tax ID
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Thomaston, GA
  • NPI 1093190670
  NPD tax ID
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Butler, GA
  • NPI 1104255934
  NPD tax ID
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cordele, GA
  • NPI 1124266499
  NPD tax ID
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Americus, GA
  • NPI 1134362916
  NPD tax ID
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rochelle, GA
  • NPI 1144401787
  NPD tax ID
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Alamo, GA
  • NPI 1184102725
  NPD tax ID

Networks

• SC HMO

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

All facility ownership & control disclosures 26

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Facilities with the same owner 26

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Careconnect Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Griffin, GA
  • NPI 1083183180

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Eastman, GA
  • NPI 1043440340

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Richland, GA
  • NPI 1063436624

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Thomaston, GA
  • NPI 1093190670

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Americus, GA
  • NPI 1134362916

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Alamo, GA
  • NPI 1184102725

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Moultrie, GA
  • NPI 1255818803

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cuthbert, GA
  • NPI 1275060212

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ashburn, GA
  • NPI 1316485493

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Montezuma, GA
  • NPI 1407252638

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Americus, GA
  • NPI 1447669668

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Kathleen, GA
  • NPI 1447833926

  Careconnect Health Inc

  CMS ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1023463510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 E 16TH AVE",
            "address_2": "SUITE A",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310154549",
            "telephone_number": "229-273-1716",
            "fax_number": "229-273-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 E 16TH AVE",
            "address_2": "SUITE A",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310154549",
            "telephone_number": "229-273-1716",
            "fax_number": "229-273-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARECONNECT HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "229-273-8881"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carson Bryan
• Mark L Bryant, O.D.
• Jennifer Buford, CCC/SLP
• Shonterrian L. Butts
• Kimmie A Carden, PA-C
• Careconnect Health, Inc.
• Careconnect Health, Inc.
• Careconnect Health, Inc.
• Careconnect Health, Inc.
• Careconnect Health, Inc.

• Federally Qualified Health Center (FQHC) in Cordele, GA
• Providers in Cordele, GA by specialty
• Federally Qualified Health Center (FQHC) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.