NPIMap

Organization Active NPI

Carehere LLC

Doing business as CareHere Dougherty County

  • Adult Medicine Physician
  • Albany, GA
National Provider Identifier
1083240766
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
CAREHERE LLC
Doing business as
CareHere Dougherty County
CareHere-Dougherty County
Practice address
114 N Jackson St
Albany, GA 31701-2583
Phone
(615) 221-5901
NPI assigned
Mar 13, 2020
Last updated
Mar 13, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CAREHERE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Mr. Ernest Clevenger
Title
President
Phone
(615) 221-5901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X Primary

Addresses

Primary practice location

114 N Jackson St
Albany, GA 31701-2583

Mailing address

114 N Jackson St
Albany, GA 31701-2583
Phone (615) 221-5901

Other names 2

  • CareHere Dougherty County Doing business as
  • CareHere-Dougherty County Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carehere LLC40 organizations share this tax ID, including this one
Part of
Carehere LLC

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Locations

114 N Jackson St
Albany, GA 31701
Phone (229) 439-8420

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1083240766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N JACKSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012583",
            "telephone_number": "615-221-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N JACKSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012583",
            "telephone_number": "615-221-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREHERE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAREHERE LLC",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "CLEVENGER",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-221-5901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareHere Dougherty County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CareHere-Dougherty County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.