Active NPI
Careconnect Health, Inc
Doing business as CareConnect Family Practice
- Federally Qualified Health Center (FQHC)
- Americus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- CARECONNECT HEALTH, INC
- Doing business as
- CareConnect Family Practice
- Practice address
- 1102 E Lamar St Ste 1
Americus, GA 31709-3781 - Phone
- (229) 928-4755
- Fax
- (229) 928-4750
- NPI assigned
- Jul 26, 2007
- Last updated
- Mar 24, 2025
- 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
- Linda Young
- Title
- Secretary
- Phone
- (229) 273-8881
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
1102 E Lamar St Ste 1
Americus, GA 31709-3781
Mailing address
P.O. Box 5610
Cordele, GA 31015-1514
Phone (229) 928-4755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 697799413A | Medicaid | GA |
Other names 1
- CareConnect Family Practice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070830000625 | GA | Part A Provider - Federally Qualified Health Center (FQHC) | 7810980794 | Practice locations: Americus, GA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1225228307. Details of each certification follow.
Federally qualified health center certification: CCN 111900
- Legal name
- CARECONNECT HEALTH INC
- Doing business as
- CARECONNECT FAMILY PRACTICE
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Sep 6, 2007
- Last certification
- Sep 6, 2007
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Nov 7, 1980 in GA
- Enrollment address
- 1102 E Lamar St
Ste 1
Americus, GA 31709-3781
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1072400 | Careconnect Family Practice | Certificate of waiver | Aug 15, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Careconnect Health Inc
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba CareConnect Convenient Care
- Federally Qualified Health Center (FQHC)
- Griffin, GA
- NPI 1083183180
-
dba CareConnect Family Practice
- Federally Qualified Health Center (FQHC)
- Buena Vista, GA
- NPI 1154891794
-
dba Pediatric Convenient Care
- Federally Qualified Health Center (FQHC)
- Thomaston, GA
- NPI 1437009040
-
dba Pediatric Convenient Care
- Federally Qualified Health Center (FQHC)
- Moultrie, GA
- NPI 1013848928
-
dba Pediatric Urgent Care
- Federally Qualified Health Center (FQHC)
- Cordele, GA
- NPI 1023463510
-
dba CareConnect Convenient Care and Pediatrics
- Federally Qualified Health Center (FQHC)
- Eastman, GA
- NPI 1043440340
-
dba CareConnect Family Practice and Pediatrics
- Federally Qualified Health Center (FQHC)
- Richland, GA
- NPI 1063422038
-
dba CareConnect Convenient Care
- Federally Qualified Health Center (FQHC)
- Thomaston, GA
- NPI 1093190670
-
dba CareConnect Family Practice
- Federally Qualified Health Center (FQHC)
- Butler, GA
- NPI 1104255934
-
dba CareConnect Urgent Care
- Federally Qualified Health Center (FQHC)
- Cordele, GA
- NPI 1124266499
-
dba Americus Urgent Care
- Federally Qualified Health Center (FQHC)
- Americus, GA
- NPI 1134362916
-
dba CareConnect Family Practice and Pediatrics
- Federally Qualified Health Center (FQHC)
- Rochelle, GA
- NPI 1144401787
Locations
1102 E Lamar St
Ste 1
Americus, GA 31709
Phone (229) 928-4755
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Walter L. Young | Corporate Director | Jan 8, 2014 | 100% |
| Linda S McElroy | Corporate Director | Jan 8, 2014 | 100% |
| Rodney Ivey | Corporate Director | Sep 30, 2022 | 100% |
| Timothy Buchanan | Corporate Director | Jul 2, 2020 | 100% |
| Andrew L Thomas | Corporate Director | Jan 8, 2014 | 100% |
| Larry B Smith | Corporate Director | Jan 8, 2014 | 100% |
| Ajay S Gehlot | Corporate Director | Jul 2, 2020 | 100% |
| W-2 Managing Employee | Jan 8, 2014 | 100% | |
| Elizabeth Maddox | Corporate Director | Jan 8, 2014 | 100% |
| Joanne M. Jones | Corporate Director | Jun 16, 2023 | 100% |
| Sundie M Avery | Corporate Director | Jul 14, 2021 | 100% |
| Rhonda J Slocumb | Corporate Director | Jun 14, 2016 | 100% |
All facility ownership & control disclosures 27
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Americus Urgent Care | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jun 21, 2016 May 14, 2020 |
| Careconnect Family Practice | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 14, 2020 May 14, 2020 |
| Careconnect Convenient Care and Pediatrics | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 14, 2020 Apr 14, 2020 |
| Careconnect Family Practice | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) Other (100%) |
Jun 25, 2020 Jun 25, 2020 Jun 25, 2020 |
| Careconnect Family Dentistry | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 21, 2020 Jul 21, 2020 |
| Americus OBGYN | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jun 17, 2016 Jul 22, 2020 |
| Careconnect Pediatrics | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 27, 2017 Jul 22, 2020 |
| Careconnect Urgent Care | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 20, 2018 May 16, 2023 |
| Careconnect Convenient Care | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 20, 2015 Jul 23, 2020 |
| Careconnect Convenient Care | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 9, 2015 Jul 14, 2023 |
| Careconnect Convenient Care | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Aug 9, 2022 Feb 1, 2016 |
| Pediatric Urgent Care | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 10, 2016 May 10, 2016 |
| New Hope Clinic | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 10, 2017 Jan 10, 2017 |
| Careconnect Convenient Care | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Feb 9, 2017 |
| Careconnect Family Practice and Pediatrics | Federally qualified health center | 5% Or Greater Direct Ownership Interest | Feb 13, 2017 |
| Careconnect Convenient Care | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jun 6, 2017 Jun 9, 2017 |
| Careconnect Convenient Care | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jun 19, 2017 Jun 19, 2017 |
| Careconnect Pediatrics | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 20, 2017 Jul 20, 2017 |
| Careconnect Urgent Care | Federally qualified health center | 5% Or Greater Direct Ownership Interest Operational/Managerial Control (100%) |
Jul 1, 2017 Jul 1, 2017 |
| Careconnect Convenient Care | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) Other (100%) |
Jan 19, 2018 Jan 19, 2018 Jan 19, 2018 |
| Pediatric Convenient Care | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 2, 2018 May 2, 2018 |
| Careconnect Pediatrics | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 26, 2018 Jul 26, 2018 |
| Careconnect Family Practice | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 21, 2018 Sep 21, 2018 |
| Careconnect Convenient Care | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 19, 2018 Nov 19, 2018 |
| Careconnect Convenient Care | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 11, 2021 May 11, 2021 |
| Pediatric Convenient Care | Federally qualified health center | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Feb 17, 2022 Feb 17, 2022 |
| New Hope Clinic | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 23, 2022 Feb 23, 2022 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742774400000",
"number": "1225228307",
"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": "310151514",
"telephone_number": "229-928-4755",
"fax_number": "229-928-4750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 E LAMAR ST STE 1",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317093781",
"telephone_number": "229-928-4755",
"fax_number": "229-928-4750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARECONNECT HEALTH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-26",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"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": "697799413A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CareConnect Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Americus, GA
- Fleming Burroughs, MD
- Rosie Reddick Burroughs, DMD
- Michael Shane Busman, MD
- Daron Undray Butler, MHP
- Arvie Ann Byse
- Careconnect Health, Inc. (Americus Urgent Care)
- Careconnect Health, Inc. (Americus OBGYN)
- Careconnect Health, Inc. (CareConnect Family Medicine)
- Careconnect Health, Inc. (CareConnect Pediatrics)
- Careconnect Health, Inc. (Pediatric Convenient Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.