Albany Area Primary Health Care, Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Thomasville, GA

NPI 1235489683 · NPPES record last updated Jul 1, 2025

Key facts

NPI
1235489683
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
ALBANY AREA PRIMARY HEALTH CARE, INC
Practice address
14540 US Hwy 19 S Ste#1
Thomasville, GA 31757
Phone
(229) 379-3517
Fax
(229) 436-4107
NPI assigned
Sep 13, 2012
Organization subpart
No

Authorized official

Name
Shelley Spires
Title
Ceo
Phone
(229) 888-6559

Other NPIs on the same Medicare enrollment 34

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 34

Corporate family (same tax ID) 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Facilities with the same owner 17

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in GA

Federally qualified health center certification: CCN 111965

Legal name
ALBANY AREA PRIMARY HEALTH CARE, INC
Doing business as
RURAL HIV MODEL THOMASVILLE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 26, 2013
Last certification
Aug 26, 2013
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Oct 12, 1978 in GA
Enrollment address
14540 US Highway 19 S
Ste 1
Thomasville, GA 31757-4811

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cassandra Daniels
Individual
Corporate Director
Board Member
May 1, 2020
Elizabeth J West
Individual
Corporate Director
Board Member
May 1, 1998
Brad R Stafford
Individual
Corporate Director
Board VP
Jan 1, 2006
Brenda C Williams
Individual
Corporate Director
Board Member
Nov 1, 1992
Kuanita Murphy
Individual
Corporate Director
Board Member
Sep 1, 2011
William J Peterson
Individual
Corporate Director
Board Member
Nov 1, 2021
Victoria Darrisaw
Individual
Corporate Director
Board Member
May 1, 2013
Robert Sternenberg
Individual
Corporate Director
Board Member
Feb 1, 2013
Adolphus Major
Individual
Corporate Director
Board Member
Dec 1, 2015
Sybil L Thomas
Individual
Corporate Director
Board Member
Dec 1, 2007
Jimmy D Quinn
Individual
Corporate Director
Board Member
Jul 1, 2008
Albany Area Primary Health Care, Inc
Organization · Albany, GA
Non-profit
Operational/Managerial Control Nov 29, 1979 100%
Shelley Spires
Individual
Corporate Officer Jun 20, 2001
W-2 Managing Employee Sep 4, 2015
Douglas W Patten
Individual
Corporate Director
Board Member
Dec 1, 2008

All facility ownership & control disclosures 17

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mirian Worthy Women'S Health Center
Albany, GA · CCN 111922
Federally qualified health center Operational/Managerial Control (100%) Nov 29, 1979
West Albany Dental & Medical Center
Albany, GA · CCN 111940
Federally qualified health center Operational/Managerial Control Jun 14, 2011
S.Trussell Medical Center
Vienna, GA · CCN 111941
Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2010
Alice Coachman Elementary School-Based Health Center
Albany, GA · CCN 111025
Federally qualified health center Operational/Managerial Control (100%) Nov 29, 1979
Albany Middle School-Based Health Center
Albany, GA · CCN 111023
Federally qualified health center Operational/Managerial Control (100%) Nov 29, 1979
Dooly County School-Based Health Center
Pinehurst, GA · CCN 111032
Federally qualified health center Operational/Managerial Control (100%) Nov 29, 1979
Aaphc Renaissance Center
Albany, GA · CCN 111033
Federally qualified health center Operational/Managerial Control (100%) Nov 29, 1979
Terrell County School-Based Health Center
Dawson, GA · CCN 111034
Federally qualified health center Operational/Managerial Control (100%) Nov 29, 1979
Hotz Scoggins Family Medical Center
Albany, GA · CCN 111036
Federally qualified health center Operational/Managerial Control (100%) Nov 29, 1979
Robert Harvey Elementary School-Based Health Center
Albany, GA · CCN 111083
Federally qualified health center Operational/Managerial Control (100%) Nov 29, 1979
Live Oak Elementary School-Based Health Center
Albany, GA · CCN 111081
Federally qualified health center Operational/Managerial Control (100%) Nov 29, 1979
Aaphc Americus Behavioral Wellness Center
Americus, GA · CCN 851166
Federally qualified health center Operational/Managerial Control (100%) Nov 29, 1979
Mitchell County School-Based Health Center
Camilla, GA · CCN 851167
Federally qualified health center Operational/Managerial Control (100%) Nov 29, 1979
Albany Area Pediatrics
Albany, GA · CCN 851174
Federally qualified health center Operational/Managerial Control (100%) Nov 29, 1979
Aaphc Elois Edge Women'S Health Center
Albany, GA · CCN 111155
Federally qualified health center Operational/Managerial Control (100%) Nov 29, 1979
Albany Area Primary Health Care, Inc
Fort Gaines, GA · CCN 851965
Federally qualified health center Operational/Managerial Control (100%) Nov 29, 1979
Albany Area Primary Health Care, Inc
Americus, GA · CCN 851967
Federally qualified health center Operational/Managerial Control (100%) Nov 29, 1979

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040217000509 GA Part B Supplier - Clinic/Group Practice 7911811922 Receives reassigned benefits from 129 practitioners
34 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Albany, GA; Americus, GA; Camilla, GA; Cordele, GA; Dawson, GA; Edison, GA; Fort Gaines, GA; Leesburg, GA…
O20130506000555 GA Part a Provider - Federally Qualified Health Center (FQHC) 7911811922 Practice locations: Thomasville, GA

National Provider Directory

Tax ID family
East Albany Medical Ctr (34 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

14540 US Hwy 19 S Ste#1
Thomasville, GA 31757

Mailing address

2408 Westgate Dr
Albany, GA 31707-2277
Phone (229) 888-6559

Other names

  • Rural HIV Model Thomasville Doing business as

Other providers in Thomasville, GA

All providers in Thomasville, GA · Federally Qualified Health Center (FQHC) in Georgia

Sources for this page

Verify at the official NPI Registry.