CARECONNECT HEALTH, INC. (NPI# 1104255934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104255934 |
| Entity Type | Organization |
| Organization Name | CARECONNECT HEALTH, INC. |
| Other Organization Name | CARECONNECT FAMILY PRACTICE |
| Practice Address |
80 W Main St Butler GA 31006-5156 |
| Practice Telephone | 4788625453 |
| Practice Fax Number | 4788625454 |
| Mailing Telephone | 4788625453 |
| Mailing Fax Number | 4788625454 |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | LINDA YOUNG (SECRETARY) |
| Authorized Official Telephone | 2292738881 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CareConnect Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467092221 | Careconnect Health, Inc. | Clinic/Center | 130 N Lee St, Forsyth, GA 31029-2122 | 2020-01-09 |
| 1649810714 | Careconnect Health, Inc. | Clinic/Center | 254 Wright Avenue, Roberta, GA 31078 | 2020-01-07 |
| 1437798725 | Careconnect Health, Inc. | Clinic/Center | 414 S Frontage Rd Lot 53, Forsyth, GA 31029-3025 | 2020-01-03 |
| 1184102725 | Careconnect Health, Inc. | Clinic/Center | 9 W Main Street, Alamo, GA 30411 | 2018-08-06 |
| 1528556990 | Careconnect Health, Inc. | Clinic/Center | 1909 Hwy. 82 West, Suites 3 & 4, Tifton, GA 31793 | 2018-05-01 |
| 1801302997 | Careconnect Health, Inc. | Clinic/Center | 209 North Camellia Blvd., Fort Valley, GA 31030 | 2017-12-27 |
| 1679096606 | Careconnect Health, Inc. | Clinic/Center | 110 E 13th Ave, Cordele, GA 31015-4245 | 2017-07-21 |
| 1912432527 | Careconnect Health, Inc. | Clinic/Center | 1909 Us Highway 82 W, Suite 5, Tifton, GA 31793-8200 | 2017-04-21 |
| 1699207050 | Careconnect Health, Inc. | Clinic/Center | 822 S Hill St, Griffin, GA 30224-4842 | 2017-04-03 |
| 1659819357 | Careconnect Health, Inc. | Clinic/Center | 277 Perry Pkwy, Suite C, Perry, GA 31069-8427 | 2017-02-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CARECONNECT HEALTH, INC. | 510 Alston St, Suite B, Richland, GA 31825-6012 |
| Street Address |
80 W MAIN ST |
| City | BUTLER |
| State | GA |
| Zip Code | 31006-5156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003395690 | Brandi Michelle St. John | Nurse Practitioner | 80 W Main St, Butler, GA 31006 | 2018-08-14 |
| 1215301320 | Sybil Lew | Nurse Practitioner | 80 W Main St, Butler, GA 31006-5156 | 2015-12-01 |
| 1992126775 | Amanda Jenkins Riley | Nurse Practitioner | 80 W Main St, Butler, GA 31006-5156 | 2013-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347888 | Freemans Early Intervention Services | Community/Behavioral Health | 13 Peach St, Butler, GA 31006 | 2020-08-17 |
| 1609327089 | Butler Long Term Care Solutions | Pharmacy | 10 B North Poplar St, Butler, GA 31006 | 2016-10-20 |
| 1639297229 | New Horizons Management, Inc | Assisted Living Facility | 19 Hillcrest Circle, Butler, GA 31006 | 2007-03-26 |
| 1184774499 | Scott Albert Niette | Dentist | 43 South Broad Street, Butler, GA 31006 | 2007-01-11 |
| 1962593541 | Commissioners of Roads and Revenues Taylor County | Ambulance | 1 Court Square, Butler, GA 31006 | 2006-09-27 |
| 1871604355 | Julie Oliver | Physician Assistant | 80 West Main St., Butler, GA 31006 | 2006-08-31 |
| 1144333915 | Smith's Pharmacy | Pharmacy | 10 North Poplar St, Butler, GA 31006 | 2006-08-16 |
| 1902833965 | Taylor County Board of Health | Public Health or Welfare | Highway 137 West, Butler, GA 31006 | 2006-06-27 |
| 1316065915 | New Horizons Management, Inc | Assisted Living Facility | 19 Hillcrest Circle, Butler, GA 31006 | 2007-03-26 |
| 1790815132 | Taylor County Health Care, LLC | Clinic/Center | Highway 19 South, Butler, GA 31006 | 2007-03-06 |
| Find all providers in zip 31006 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225485733 | Careconnect Health, Inc. | Clinic/Center | 218 E Main St, Butler, GA 31006-5305 | 2016-05-16 |
| 1972959666 | Careconnect Health, Inc. | Clinic/Center | 56 Mcdowell St, Butler, GA 31006-5337 | 2016-05-11 |
| 1386022002 | Compass Health, Inc. | Clinic/Center | 805 N Orange St, Butler, MO 64730-9382 | 2015-05-14 |
| 1457739450 | Compass Health, Inc. | Clinic/Center | 205 E Dakota St, Butler, MO 64730-2113 | 2015-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395620 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 8a Probasco Street Unit 214, Lafayette, GA 30728 | 2020-10-30 |
| 1366066243 | Health Education Assessment and Leadership Inc | Clinic/Center | 225 Griffin St Nw, Atlanta, GA 30314-3917 | 2020-06-05 |
| 1851924377 | Valley Healthcare System | Clinic/Center | 1458 Benning Dr, Columbus, GA 31903-2200 | 2020-02-13 |
| 1952941528 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 400 E Broad St, Savannah, GA 31401-5104 | 2020-01-13 |
| 1023658523 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1407 Cobb Parkway Nw, Marietta, GA 30060-6546 | 2020-01-13 |
| 1467092221 | Careconnect Health, Inc. | Clinic/Center | 130 N Lee St, Forsyth, GA 31029-2122 | 2020-01-09 |
| 1417597238 | The Family Health Centers of Georgia, Inc | Clinic/Center | 19 John Maddox Dr Nw Ste B, Rome, GA 30165-1477 | 2020-01-09 |
| 1649810714 | Careconnect Health, Inc. | Clinic/Center | 254 Wright Avenue, Roberta, GA 31078 | 2020-01-07 |
| 1437798725 | Careconnect Health, Inc. | Clinic/Center | 414 S Frontage Rd Lot 53, Forsyth, GA 31029-3025 | 2020-01-03 |
| 1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.