Careconnect Health, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CARECONNECT HEALTH, INC.

Doing business as

CareConnect Pediatrics

Practice address

760 26TH Ave SE
Moultrie, GA 31768-6799

Phone

(229) 985-1457

Fax

(229) 891-3937

NPI assigned

Jul 26, 2018

Last updated

May 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda Young

Title

Executive Secretary

Phone

(229) 273-8881

Specialties & licenses 1

Addresses

Other names 1

• CareConnect Pediatrics Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255818803. Details of each certification follow.

• CCN 111094 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 111094

Legal name

CARECONNECT HEALTH INC

Doing business as

CARECONNECT PEDIATRICS

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Sep 6, 2018

Last certification

Sep 6, 2018

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Nov 7, 1980 in GA

Enrollment address

760 26TH Ave SE
Moultrie, GA 31768-6799

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

CLIA laboratory certificates

Tax ID family

Southwest Georgia Hlthcare51 organizations share this tax ID, including this one

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.

• Careconnect Health, Inc

  dba CareConnect Convenient Care

  • Federally Qualified Health Center (FQHC)
  • Griffin, GA
  • NPI 1083183180
  NPD tax ID
• Careconnect Health, Inc

  dba CareConnect Family Practice

  • Federally Qualified Health Center (FQHC)
  • Buena Vista, GA
  • NPI 1154891794
  NPD tax ID
• Careconnect Health, Inc

  dba CareConnect Family Practice

  • Federally Qualified Health Center (FQHC)
  • Americus, GA
  • NPI 1225228307
  NPD tax ID
• Careconnect Health, Inc

  dba Pediatric Convenient Care

  • Federally Qualified Health Center (FQHC)
  • Thomaston, GA
  • NPI 1437009040
  NPD tax ID
• Careconnect Health, Inc.

  dba Pediatric Urgent Care

  • Federally Qualified Health Center (FQHC)
  • Cordele, GA
  • NPI 1023463510
  NPD tax ID
• Careconnect Health, Inc.

  dba CareConnect Convenient Care and Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Eastman, GA
  • NPI 1043440340
  NPD tax ID
• Careconnect Health, Inc.

  dba CareConnect Family Practice and Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Richland, GA
  • NPI 1063422038
  NPD tax ID
• Careconnect Health, Inc.

  dba CareConnect Convenient Care

  • Federally Qualified Health Center (FQHC)
  • Thomaston, GA
  • NPI 1093190670
  NPD tax ID
• Careconnect Health, Inc.

  dba CareConnect Family Practice

  • Federally Qualified Health Center (FQHC)
  • Butler, GA
  • NPI 1104255934
  NPD tax ID
• Careconnect Health, Inc.

  dba CareConnect Urgent Care

  • Federally Qualified Health Center (FQHC)
  • Cordele, GA
  • NPI 1124266499
  NPD tax ID
• Careconnect Health, Inc.

  dba Americus Urgent Care

  • Federally Qualified Health Center (FQHC)
  • Americus, GA
  • NPI 1134362916
  NPD tax ID
• Careconnect Health, Inc.

  dba CareConnect Family Practice and Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Rochelle, GA
  • NPI 1144401787
  NPD tax ID

All disclosed owners & managing parties 13

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

All facility ownership & control disclosures 26

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

Facilities with the same owner 26

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Careconnect Health, Inc

  dba CareConnect Convenient Care

  • Federally Qualified Health Center (FQHC)
  • Griffin, GA
  • NPI 1083183180

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  dba Pediatric Urgent Care

  • Federally Qualified Health Center (FQHC)
  • Cordele, GA
  • NPI 1023463510

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  dba CareConnect Convenient Care and Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Eastman, GA
  • NPI 1043440340

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Richland, GA
  • NPI 1063436624

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  dba CareConnect Convenient Care

  • Federally Qualified Health Center (FQHC)
  • Thomaston, GA
  • NPI 1093190670

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  dba Americus Urgent Care

  • Federally Qualified Health Center (FQHC)
  • Americus, GA
  • NPI 1134362916

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  dba CareConnect Family Practice

  • Federally Qualified Health Center (FQHC)
  • Alamo, GA
  • NPI 1184102725

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  dba CareConnect Convenient Care

  • Federally Qualified Health Center (FQHC)
  • Cuthbert, GA
  • NPI 1275060212

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  dba CareConnect Family Practice and Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Ashburn, GA
  • NPI 1316485493

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  dba CareConnect Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Montezuma, GA
  • NPI 1407252638

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  dba Americus OBGYN

  • Federally Qualified Health Center (FQHC)
  • Americus, GA
  • NPI 1447669668

  Careconnect Health Inc

  CMS ownership
• Careconnect Health, Inc.

  dba Pediatric Convenient Care

  • Federally Qualified Health Center (FQHC)
  • Kathleen, GA
  • NPI 1447833926

  Careconnect Health Inc

  CMS ownership

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.

• Morgan Jane Orr, FNP-C

  • Family Nurse Practitioner
  • Thomasville, GA
  • NPI 1811545833
  NPD (past)

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1255818803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5610",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310105610",
            "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": "760 26TH AVE SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686799",
            "telephone_number": "229-985-1457",
            "fax_number": "229-891-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARECONNECT HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "EXECUTIVE SECRETARY",
        "authorized_official_telephone_number": "229-273-8881"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareConnect Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CareConnect Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cardiac Disease Consultants, LLC
• Jared Kent Cardwell, MD
• Jillian Cardwell
• Melissa Cardwell, DO
• Careconnect Health, Inc. (Pediatric Convenient Care)
• Careconnect Health, Inc. (CareConnect Urgent Care)
• Marsha Tillman Carlton, LCSW
• Dorothy Virginia Carpenter, LPC
• Matthew William Carter, D.M.D.
• Kiana Ann Cavin I, LPN

• Federally Qualified Health Center (FQHC) in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Federally Qualified Health Center (FQHC) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.