Careconnect Health, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CARECONNECT HEALTH, INC.

Practice address

711 E 16TH Ave
Cordele, GA 31015-1513

Phone

(229) 271-9330

Fax

(229) 271-9245

NPI assigned

Jan 26, 2009

Organization subpart

No

Name

Linda Young

Title

Secretary

Phone

(229) 273-8881

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

• 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)
  • Cordele, GA
  • NPI 1023463510
  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)
  • 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

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kayla Bernardoni

  • Family Nurse Practitioner
  • Cordele, GA
  • NPI 1013493121
  NPD (past)
• Holly K Davis, NP-C

  • Nurse Practitioner
  • Cordele, GA
  • NPI 1790048023
  NPD (past)
• Melissa Goodbread Dupree, FNP

  • Family Nurse Practitioner
  • Americus, GA
  • NPI 1326601071
  NPD (past)
• Lauren Goforth Faulk, APRN, FNP-C

  • Family Nurse Practitioner
  • Cordele, GA
  • NPI 1720683055
  NPD (past)
• Lori Alexandra Little, FNP-C

  • Family Nurse Practitioner
  • Rochelle, GA
  • NPI 1639753882
  NPD (past)
• Aundre R. Mitchell, FNP-BC

  • Family Nurse Practitioner
  • Monroe, GA
  • NPI 1669754214
  NPD (past)
• Falguni Patel, FNP

  • Nurse Practitioner
  • Macon, GA
  • NPI 1184058612
  NPD (past)
• Kyle Watson, NP

  • Nurse Practitioner
  • Americus, GA
  • NPI 1316328214
  NPD (past)
• Mary Lynn Williams, NP-C

  • Family Nurse Practitioner
  • Cordele, GA
  • NPI 1174846216
  NPD (past)
• Heather M Wright, FNP-C

  • Family Nurse Practitioner
  • Cordele, GA
  • NPI 1346931789
  NPD (past)
• Jaycee Lauren Lott

  • Nurse Practitioner
  • Dothan, AL
  • NPI 1710508353
  NPD (past)

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

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in GA

Legal name

CARECONNECT HEALTH INC

Doing business as

CARECONNECT URGENT CARE

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Mar 26, 2009

Last certification

Mar 26, 2009

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Nov 7, 1980 in GA

Enrollment address

711 E 16TH Ave
Cordele, GA 31015-1513

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

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

Tax ID family

Careconnect Health Inc (51 organizations share this tax ID)

• CareConnect Urgent Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2023.

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1124266499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5610",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310101514",
            "telephone_number": "229-273-8881",
            "fax_number": "229-273-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E 16TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310151513",
            "telephone_number": "229-271-9330",
            "fax_number": "229-271-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARECONNECT HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176897197A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareConnect Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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.
• Careconnect Health, Inc.

• All providers in Cordele, GA
• Federally Qualified Health Center (FQHC) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.