CARECONNECT FAMILY PRACTICE – NPI #1497019194
Clinic/Center

CARECONNECT FAMILY PRACTICE is an AHC clinic located in OGLETHORPE, GA. NPPES has assigned the NPI number 1497019194 to CARECONNECT FAMILY PRACTICE on June 27, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CARECONNECT FAMILY PRACTICE” is a dba name, the actual legal business name for this organization is CARECONNECT HEALTH, INC.. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 6 years ago on Jan 06, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARECONNECT FAMILY PRACTICE below.

NPI Profile for
CARECONNECT HEALTH, INC.

NPI Number
1497019194
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CARECONNECT HEALTH, INC.
Doing Business As (dba): CARECONNECT FAMILY PRACTICE
Primary location
300 MEDICAL COURT
OGLETHORPE, GA 31068
Phone: (478) 458-9942 Fax: (478) 458-9969
Mailing address
PO BOX 5610
CORDELE, GA 31010-5610
Phone: (229) 273-8881 Fax: (229) 273-8985
Organization Subpart
No
Authorized Official
LINDA YOUNG
SECRETARY
Phone: (229) 273-8881
Updated
Certification Date
Jan 06, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.