CARECONNECT HEALTH, INC. (NPI# 1902262629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902262629 |
| Entity Type | Organization |
| Organization Name | CARECONNECT HEALTH, INC. |
| Other Organization Name | CARECONNECT OBGYN |
| Practice Address |
222 Perry Hwy Ste 206 Professional Building B Hawkinsville GA 31036-6748 |
| Practice Telephone | 4787839340 |
| Practice Fax Number | 4787833961 |
| Mailing Telephone | 4787839340 |
| Mailing Fax Number | 4787833961 |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2020-01-06 |
| 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 OBGYN | Doing Business As Name - Organization |
| Taylor OBGYN | 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 |
222 PERRY HWY STE 206 PROFESSIONAL BUILDING B |
| City | HAWKINSVILLE |
| State | GA |
| Zip Code | 31036-6748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841382801 | Patricia Dianne Coussens | Obstetrics & Gynecology | 222 Perry Hwy Ste 206, Professional Building B, Hawkinsville, GA 31036-6748 | 2006-09-28 |
| 1053838193 | Amy Lynn Carter | Advanced Practice Midwife | 222 Perry Hwy Ste 206, Hawkinsville, GA 31036-6748 | 2017-08-29 |
| 1104182237 | Teresa Fay Yzenski | Advanced Practice Midwife | 222 Perry Hwy Ste 206, Professional Building B, Hawkinsville, GA 31036-6748 | 2012-04-03 |
| 1992084263 | Holly Michele Cross | Advanced Practice Midwife | 222 Perry Hwy Ste 206, Professional Building B, Hawkinsville, GA 31036-6748 | 2011-08-04 |
| 1750671004 | Barry Iguobadia | Obstetrics & Gynecology | 222 Perry Hwy Ste 206, Professional Building B, Hawkinsville, GA 31036-6748 | 2011-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053733899 | Ashley Peavy | Registered Nurse | 1228 Perry Hwy, Hawkinsville, GA 31036 | 2014-01-14 |
| 1407145816 | Regina B Harrell | Pharmacist | #8 Surrey Plaza, Rite Aid Pharmacy, Hawkinsville, GA 31036 | 2011-04-06 |
| 1710286018 | Paige D Dawson | Pharmacist | 8 Surrey Plaza, Hawkinsville, GA 31036 | 2011-03-25 |
| 1770881849 | James Wooten O'neal IIi | Pharmacist | 8 Surry Plaza, Hawkinsville, GA 31036 | 2011-03-14 |
| 1174847818 | Rosario P Ceniza | Pediatrics | 12 Spring Valley Rd, Hawkinsville, GA 31036 | 2010-03-24 |
| 1568643773 | Amedisys Georgia L.L.C. | Home Health | 32 341 Bypass, Hawkinsville, GA 31036 | 2007-11-15 |
| 1417073560 | Institutional Pharmacy Solutions Inc | Pharmacy | 115 - B Commerce St., Hawkinsville, GA 31036 | 2007-03-21 |
| 1336211234 | Hawkinsville Dental Associates, LLC | Dentist | Route 4 Box 7085, Hawkinsville, GA 31036 | 2006-11-15 |
| 1447340567 | Larry David Gattis | Family Medicine | 412 Commerce St, Hawkinsville, GA 31036 | 2006-10-13 |
| 1184710857 | Myron Keith Lewis | Family Medicine | 292 Industrial Blvd., Suite 102, Hawkinsville, GA 31036 | 2006-10-04 |
| Find all providers in zip 31036 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | HAWKINSVILLE |
| Zip Code | 31036 |
Please comment or provide details below to improve the information on CARECONNECT HEALTH, INC..
| 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.