NPIMap

Albany Area Primary Health Care, Inc.

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

NPI 1326404658 · NPPES record last updated Jul 1, 2025

Key facts

NPI
1326404658
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
455 Greenwave Blvd
Dawson, GA 39842-2908
Phone
(229) 405-6238
Fax
(229) 995-4555
NPI assigned
Dec 31, 2015
Organization subpart
No

Authorized official

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

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.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2108335Terrell County School Based Health Center
455 Greenwave Boulevard, Dawson, GA 39842		Certificate of waiverNov 30, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Federally qualified health center certification: CCN 111034

Legal name
ALBANY AREA PRIMARY HEALTH CARE, INC
Doing business as
TERRELL COUNTY SCHOOL-BASED HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 1, 2016
Last certification
Apr 1, 2016
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Nov 29, 1979 in GA
Enrollment address
455 Greenwave Blvd
Dawson, GA 39842-2908

All disclosed owners & managing parties 18

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 Member		 Apr 1, 2016
Christopher L Jones
Individual 		Corporate Director
Board Member		 Apr 1, 2011
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, 2023
Robert Sternenberg
Individual 		Corporate Director
Board Member		 Feb 1, 2013
Mary Osei
Individual 		Corporate Director
Board Member		 Jul 1, 2013
Adolphus Major
Individual 		Corporate Director
Board Member		 Dec 1, 2015
Steven E Kitchen
Individual 		Corporate Director
Board Member		 Apr 1, 2015
Sybil L Thomas
Individual 		Corporate Director
Board Member		 Dec 1, 2007
Milton F Foster
Individual 		Corporate Director
Board Member		 Apr 1, 2011
Jimmy D Quinn
Individual 		Corporate Director
Board Member		 Jul 1, 2008
Albany Area Primary Health Care, Inc
Organization · Albany, GA
Corporation, Non-profit 		Operational/Managerial Control Nov 29, 1979 100%
Shelley Spires
Individual 		Corporate Officer
Ceo		 Sep 4, 2015
W-2 Managing Employee
Ceo		 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
Rural HIV Model Thomasville
Thomasville, GA · CCN 111965		 Federally qualified health center Operational/Managerial Control (100%) Nov 29, 1979
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
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
O20160301001831 GA Part a Provider - Federally Qualified Health Center (FQHC) 7911811922 Practice locations: Dawson, 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

455 Greenwave Blvd
Dawson, GA 39842-2908

Mailing address

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

Other names

  • Terrell County School-Based Health Center Doing business as

Other providers in Dawson, GA

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

Sources for this page

Verify at the official NPI Registry.