C & C Medical Group, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

C & C MEDICAL GROUP, INC.

Doing business as

Medfirst Immediate Medical Care Center

Practice address

1384 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4010

Phone

(706) 861-2700

Fax

(706) 861-2745

NPI assigned

Jan 26, 2007

Last updated

Nov 2, 2023By 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

Mrs. Connie N. Couch

Title

President/Ceo

Phone

(706) 861-2700

Specialties & licenses 3

Addresses

Other names 1

• MEDFIRST IMMEDIATE MEDICAL CARE CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Dayle C Hawthorne, M.D.

  • Family Medicine Physician
  • Fort Oglethorpe, GA
  • NPI 1235234592
  Medicare reassignment NPD
• Walter Watkins

  • Emergency Medicine Physician
  • Roswell, GA
  • NPI 1710087986
  Medicare reassignment NPD
• Douglas Ray White, M.D.

  • Family Medicine Physician
  • Ringgold, GA
  • NPI 1568683506

  Single Specialty

  NPD
• Ken K Kwok, M.D.

  • Adult Medicine Physician
  • Fort Oglethorpe, GA
  • NPI 1366600322
  NPD (past)
• Albert G Lintel III, MD

  • Emergency Medicine Physician
  • Marietta, GA
  • NPI 1982740643
  NPD (past)
• Carol Thomison, MSN, AGPCNP

  • Adult Health Nurse Practitioner
  • Rossville, GA
  • NPI 1659086296
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1871649525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6513 BURR ST",
            "city": "EAST RIDGE",
            "state": "TN",
            "postal_code": "374124201",
            "telephone_number": "706-861-2700",
            "fax_number": "706-861-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1384 BATTLEFIELD PKWY",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424010",
            "telephone_number": "706-861-2700",
            "fax_number": "706-861-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & C MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "706-861-2700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDFIRST IMMEDIATE MEDICAL CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Brown
• Christine Broyles
• Steven G Burdette, ATC
• Erin Burns
• David Allen Burris Sr.
• Larry V. Calloway, DDS
• Rodolfo Mario Cardenas, MD
• Andrea Carpenter, PMHNP-BC
• Christie Case, FNP-C
• Jimmy Case, PHARMD

• General Practice Physician in Fort Oglethorpe, GA
• Providers in Fort Oglethorpe, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.