Careconnect Health, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CARECONNECT HEALTH, INC.

Practice address

609 East Lamar Street
Americus, GA 31709-3737

Phone

(229) 924-8636

Fax

(229) 924-8786

NPI assigned

May 2, 2008

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

Secretary

Phone

(229) 273-8881

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CareConnect Pediatrics Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Federally qualified health center certification: CCN 111910

Legal name

CARECONNECT HEALTH INC

Doing business as

CARECONNECT PEDIATRICS

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 8, 2008

Last certification

Aug 8, 2008

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Nov 7, 1980 in GA

Enrollment address

609 E Lamar St
Americus, GA 31709-3737

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

Careconnect Health Inc51 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

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

  • Federally Qualified Health Center (FQHC)
  • Ashburn, GA
  • NPI 1316485493
  NPD tax ID
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Montezuma, GA
  • NPI 1407252638
  NPD tax ID
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cordele, GA
  • NPI 1407411986
  NPD tax ID
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cordele, GA
  • NPI 1427815737
  NPD tax ID
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Americus, GA
  • NPI 1447669668
  NPD tax ID
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Kathleen, GA
  • NPI 1447833926
  NPD tax ID
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Americus, GA
  • NPI 1457201378
  NPD tax ID
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cordele, GA
  • NPI 1457581738
  NPD tax ID
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Forsyth, GA
  • NPI 1467092221
  NPD tax ID
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ellaville, GA
  • NPI 1487036075
  NPD tax ID
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Oglethorpe, GA
  • NPI 1497019194
  NPD tax ID

All disclosed owners & managing parties 12

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 27

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

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1497921167",
    "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": "229-924-8636",
            "fax_number": "229-924-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 EAST LAMAR STREET",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093737",
            "telephone_number": "229-924-8636",
            "fax_number": "229-924-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARECONNECT HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "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": "202594631A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareConnect Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arvie Ann Byse
• Careconnect Health, Inc
• Careconnect Health, Inc.
• Careconnect Health, Inc.
• Careconnect Health, Inc.
• Careconnect Health, Inc.
• Careconnect Health, Inc.
• Careconnect Health, Inc.
• Elizabeth M Carroll, RPH
• John B Carroll III, RPH

• Federally Qualified Health Center (FQHC) in Americus, GA
• Providers in Americus, 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 Jan 2, 2020; 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.