Active NPI
Connect Care Medical LLC
- Diabetes Educator Registered Nurse
- Savannah, GA
National Provider Identifier
1154013373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- Legal business name
- CONNECT CARE MEDICAL LLC
- Practice address
- 707 Beauregard St
Savannah, GA 31405-5902 - Phone
- (912) 667-2233
- NPI assigned
- May 25, 2023
- Last updated
- Jun 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Wendell Baines
- Title
- Owner
- Phone
- (912) 667-2233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | Primary |
Addresses
Primary practice location
707 Beauregard St
Savannah, GA 31405-5902
Mailing address
707 Beauregard St
Savannah, GA 31405-5902
Phone (912) 667-2233
National Provider Directory
National Provider DirectoryPractitioners & 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": "1684972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685577600000",
"number": "1154013373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 BEAUREGARD ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314055902",
"telephone_number": "912-667-2233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 BEAUREGARD ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314055902",
"telephone_number": "912-667-2233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONNECT CARE MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-25",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A",
"authorized_official_last_name": "BAINES",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "WENDELL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "912-667-2233"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Diabetes Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.