Healthcare Provider Details

I. General information

NPI: 1285561431
Provider Name (Legal Business Name): COMMUNITY CARE RURAL HEALTH FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1123 E LAMAR ST
AMERICUS GA
31709-3762
US

IV. Provider business mailing address

PO BOX 1636
AMERICUS GA
31709-1636
US

V. Phone/Fax

Practice location:
  • Phone: 229-231-5436
  • Fax: 229-303-1205
Mailing address:
  • Phone: 229-231-5436
  • Fax: 229-303-1205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. DEBORAH TYMES RHODES
Title or Position: FOUNDER/VISIONARY LEADER
Credential: DNP, FNP-BC
Phone: 229-410-9174