CARECONNECT FAMILY PRACTICE – NPI #1649810714
Clinic/Center

CARECONNECT FAMILY PRACTICE is an AHC clinic located in ROBERTA, GA. NPPES has assigned the NPI number 1649810714 to CARECONNECT FAMILY PRACTICE on January 07, 2020. 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 4 years ago on May 09, 2022. 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
1649810714
Enumeration Date

(more than 6 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
254 WRIGHT AVENUE
ROBERTA, GA 31078
Phone: (229) 384-5576 Fax: (229) 384-5527
Mailing address
PO BOX 5610
CORDELE, GA 31010-5610
Phone: (229) 273-8881 Fax: (229) 273-8985
Organization Subpart
No
Authorized Official
LINDA YOUNG
EXECUTIVE SECRETARY
Phone: (229) 273-8881
Updated
Certification Date
May 09, 2022

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.

Identifiers

Identifiers for CARECONNECT FAMILY PRACTICE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERTAX IDENTIFICATION NUMBERGA=========
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.