Healthcare Provider Details

I. General information

NPI: 1083559322
Provider Name (Legal Business Name): CARECONNECT LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4830 SOUTH DR
JACKSON MS
39209-3701
US

IV. Provider business mailing address

4830 SOUTH DR
JACKSON MS
39209-3701
US

V. Phone/Fax

Practice location:
  • Phone: 769-666-0066
  • Fax: 601-922-0165
Mailing address:
  • Phone: 769-666-0066
  • Fax: 601-922-0165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: CHRISTI PAYTON
Title or Position: PARTNER
Credential:
Phone: 769-666-0066