| Careconnect Family Practice | |
|
254 Wright Avenue Roberta GA 31078 | |
| (229) 384-5576 | |
| (229) 384-5527 |
| Full Name | Careconnect Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 254 Wright Avenue, Roberta, Georgia |
| Authorized Official Name and Position | Linda Young (EXECUTIVE SECRETARY) |
| Authorized Official Contact | 2292738881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careconnect Family Practice Po Box 5610 Cordele GA 31010-5610 Ph: (229) 273-8881 | Careconnect Family Practice 254 Wright Avenue Roberta GA 31078 Ph: (229) 384-5576 |
| NPI Number | 1649810714 |
|---|---|
| Provider Enumeration Date | 01/07/2020 |
| Last Update Date | 05/09/2022 |
| Certification Date | 05/09/2022 |
| Medicare PECOS PAC ID | 7810980794 |
|---|---|
| Medicare Enrollment ID | O20200215000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649810714 | NPI | - | NPPES |
| ========= | Other | GA | TAX IDENTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
Crawford Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 Mccrary Ave, Roberta, GA 31078 Phone: 478-836-2819 Fax: 478-836-2823 |