CARECONNECT HEALTH, INC. (NPI# 1437798725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437798725 |
| Entity Type | Organization |
| Organization Name | CARECONNECT HEALTH, INC. |
| Other Organization Name | CARECONNECT DENTAL VAN 2 |
| Practice Address |
414 S Frontage Rd Lot 53 Forsyth GA 31029-3025 |
| Mailing Address |
Po Box 5610 Cordele GA 31010-5610 |
| Practice Telephone | 2292738881 |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | LINDA YOUNG (EXECUTIVE 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 Dental Van 2 | Doing Business As Name - Organization |
| CareConnect Mobile Dental Van #1 | Doing Business As Name - Organization |
| CareConnect Mobile Dental Van 2 | 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 |
| 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 |
| 1023463510 | Careconnect Health, Inc. | Clinic/Center | 1007 E 16th Ave, Suite A, Cordele, GA 31015-4549 | 2016-05-03 |
| 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 |
414 S FRONTAGE RD LOT 53 |
| City | FORSYTH |
| State | GA |
| Zip Code | 31029-3025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699836833 | River Edge Behavioral Health Center | Community/Behavioral Health | 101 Willis Wilder Drive, Forsyth, GA 31029 | 2006-12-12 |
| 1497840821 | Castleberry Drug Company, LLC | Pharmacist | 67 N. Lee St, Forsyth, GA 31029 | 2006-10-03 |
| 1437168853 | Mclendon Pt Services LLC | Physical Therapist | 320 Lee King Rd, Forsyth, GA 31029 | 2006-08-05 |
| 1831168905 | Patton P Smith | Family Medicine | 90-a Martin Luther King Jr Drive, Forsyth, GA 31029 | 2006-03-14 |
| 1124504782 | Kenneth Wayne Waddell Jr. | Nurse Practitioner | 120 N Lee St Ste A, Forsyth, GA 31029 | 2018-07-17 |
| 1790176865 | Speechworks 4 Kids, LLC | Speech-Language Pathologist | 215 Cresent Dr, Forsyth, GA 31029 | 2015-02-11 |
| 1316988645 | Sarah Elizabeth Conklin | Nurse Practitioner | 90-a Martin Luther King Jr. Drive, Forsyth, GA 31029-0000 | 2006-06-09 |
| 1801981592 | Craig Caldwell | Internal Medicine | 97 Martin Luther King Jr Dr, Forsyth, GA 31029-1648 | 2006-10-04 |
| 1518079326 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 91 Martin Luther King Jr Dr, Forsyth, GA 31029-1648 | 2006-08-31 |
| 1427160191 | Tammy Lynn Barnett | Nurse Practitioner | 97 Martin Luther King Jr. Dr., Forsyth, GA 31029-1648 | 2006-08-31 |
| Find all providers in zip 31029 | ||||
| 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 |
|---|---|---|---|---|
| 1467092221 | Careconnect Health, Inc. | Clinic/Center | 130 N Lee St, Forsyth, GA 31029-2122 | 2020-01-09 |
| 1609413947 | Advocates for A Healthy Community | Clinic/Center | 15479 Us Highway 160, Forsyth, MO 65653 | 2019-12-05 |
| 1033512454 | Advocates for A Healthy Community, Inc | Clinic/Center | 15479 Us Highway 160, Forsyth, MO 65653-8150 | 2014-09-30 |
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| 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 |
| 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 |
| 1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
| 1467094649 | South Central Primary Care Center, Inc | Clinic/Center | 149 Chieftain Cir, Ocilla, GA 31774-2231 | 2019-10-09 |
| 1356992275 | Community Health Care Systems, Inc | Clinic/Center | 100 N Abc Street, Milledgeville, GA 31061 | 2019-09-23 |
| 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.