Careconnect Health, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CARECONNECT HEALTH, INC.

Practice address

510 Alston St Ste B
Richland, GA 31825

Phone

(229) 887-3324

Fax

(229) 887-3919

NPI assigned

Jul 27, 2006

Reactivated

May 22, 2007

Last updated

Jan 6, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063436624. Details of each certification follow.

• CCN 111088 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 111088

Legal name

CARECONNECT HEALTH INC

Doing business as

PEDIATRIC CONVENIENT CARE

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jun 15, 2018

Last certification

Jun 15, 2018

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Nov 7, 1980 in GA

Enrollment address

1909 US Highway 82 W
Ste 3&4
Tifton, GA 31793-8200

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

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Careconnect Health, Inc.

  dba CareConnect Dental Van 2

  • Federally Qualified Health Center (FQHC)
  • Forsyth, GA
  • NPI 1437798725

  Member Of

  NPD member

Locations

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

  dba CareConnect Convenient Care

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

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  dba Pediatric Urgent Care

  • Federally Qualified Health Center (FQHC)
  • Cordele, GA
  • NPI 1023463510

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  dba CareConnect Convenient Care and Pediatrics

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

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  dba CareConnect Convenient Care

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

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  dba Americus Urgent Care

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

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  dba CareConnect Family Practice

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

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  dba CareConnect Pediatrics

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

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  dba CareConnect Convenient Care

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

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  dba CareConnect Family Practice and Pediatrics

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

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  dba CareConnect Pediatrics

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

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  dba Americus OBGYN

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

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  dba Pediatric Convenient Care

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

  Careconnect Health Inc

  CMS ownership

Practitioners 251

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Blessing Chinecherem Aroh, MD, MPH, MSC

  • Obstetrics & Gynecology Physician
  • Americus, GA
  • NPI 1710449574
  Medicare reassignment Care Compare group NPD
• Fatima Astacio-Ford, MD

  • Pediatrics Physician
  • Americus, GA
  • NPI 1740272707
  Medicare reassignment Care Compare group NPD
• Romana Y Bairan, M.D.

  • Pediatrics Physician
  • Moultrie, GA
  • NPI 1346202835
  Medicare reassignment Care Compare group NPD
• Parviz Brahman, M.D.

  • Family Medicine Physician
  • Tifton, GA
  • NPI 1578584421
  Medicare reassignment Care Compare group NPD
• Gerald K. Brantley, MD

  • Internal Medicine Physician
  • Perry, GA
  • NPI 1639123920
  Medicare reassignment Care Compare group NPD
• Alan Brown, M.D.

  • Internal Medicine Physician
  • Albany, GA
  • NPI 1275590481
  Medicare reassignment Care Compare group NPD
• Richard K Chase, D.O.

  • Family Medicine Physician
  • Oglethorpe, GA
  • NPI 1699718411
  Medicare reassignment Care Compare group NPD
• Christopher Roderick Inhulsen, M.D.

  • Family Medicine Physician
  • Oglethorpe, GA
  • NPI 1396788592
  Medicare reassignment Care Compare group NPD
• James A. Livingston, M.D.

  • Family Medicine Physician
  • Byron, GA
  • NPI 1427110915
  Medicare reassignment Care Compare group NPD
• Samantha Dahlia Manderson, M.D.

  • Obstetrics & Gynecology Physician
  • Cordele, GA
  • NPI 1588952063
  Medicare reassignment Care Compare group NPD
• George Lee McCaskill, M.D.

  • Hospitalist Physician
  • Brunswick, GA
  • NPI 1689619678
  Medicare reassignment Care Compare group NPD
• Lilian C Nnamuchi, MD

  • Family Medicine Physician
  • Dublin, GA
  • NPI 1376821975
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1063436624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 ALSTON ST STE B",
            "city": "RICHLAND",
            "state": "GA",
            "postal_code": "318256012",
            "telephone_number": "229-887-3324",
            "fax_number": "229-887-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 ALSTON ST STE B",
            "city": "RICHLAND",
            "state": "GA",
            "postal_code": "31825",
            "telephone_number": "229-887-3324",
            "fax_number": "229-887-3919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Alston St",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "GA",
            "postal_code": "318251404",
            "country_code": "US",
            "telephone_number": "229-887-3324",
            "fax_number": "229-887-3919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARECONNECT HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "deactivation_date": "2006-09-21",
        "reactivation_date": "2007-05-22",
        "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": []
}

• Wilhelmus Andre Booth II
• Lee Christopher Boyd, P.T.A.
• Jacqueline J Burkes, PAC
• Careconnect Health, Inc. (CareConnect Family Practice and Pediatrics)
• Jacob Michael Colquitt, NP
• Valeisha Faggins
• Four County Health Care LLC (Four County Health and Rehabilitation)
• Four County Health Care, LLC (Four County health Care)
• Four County Health Care, LLC (Four County Health Care)

• Federally Qualified Health Center (FQHC) in Richland, GA
• Providers in Richland, 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 Jan 6, 2020; 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.