NPIMap

Organization Active NPI

Careatc

  • Primary Care Clinic/Center
  • La Fayette, GA
National Provider Identifier
1144041666
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CAREATC
Practice address
1507 Broomtown Rd
La Fayette, GA 30728-3407
Phone
(706) 638-3559
NPI assigned
Oct 17, 2024
Last updated
Oct 17, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CAREATCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Kelly Bender
Title
Sr. Director, Data and Analytics
Phone
(918) 779-7475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

1507 Broomtown Rd
La Fayette, GA 30728-3407

Mailing address

4500 S 129TH East Ave Ste 191
Tulsa, OK 74134-5891

Other names 1

  • CareATC GEA Roper Other name

National Provider Directory

National Provider Directory
Tax ID family
Careatc - Caledonia118 organizations share this tax ID, including this one
Part of
Careatc - Caledonia

Organizations with this tax ID in the same state 9

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

Locations

1507 Broomtown Rd
La Fayette, GA 30728
Phone (706) 638-3559

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1144041666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S 129TH EAST AVE STE 191",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741345891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 BROOMTOWN RD",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307283407",
            "telephone_number": "706-638-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREATC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAREATC",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "SR. DIRECTOR, DATA AND ANALYTICS",
        "authorized_official_telephone_number": "918-779-7475"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareATC GEA Roper",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Fayette, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.