Active NPI
Bowdon- Mt. Zion Primary Health Center ,Inc.
- Rural Health Clinic/Center
- Franklin, GA
On this page
- Key facts
- Authorized official
- Owners & managing parties with NPI records2
- Owned or controlled facilities with NPI records2
- Other NPIs with the same Medicare PAC ID2
- Laboratory certificates & supplier records
- Medicare participation
- Rural health clinic certification: CCN 113851
- All disclosed owners & managing parties3
- All facility ownership & control disclosures2
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other identifiers2
- Other names1
- NPI Registry JSON
- Other providers in Franklin, GA
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- BOWDON- MT. ZION PRIMARY HEALTH CENTER ,INC.
- Practice address
- 1236 Franklin Pkwy
Franklin, GA 30217-7508 - Phone
- (706) 675-8669
- Fax
- (706) 675-3303
- NPI assigned
- May 8, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Christy Brewer
- Title
- Office Manager
- Phone
- (706) 675-8669
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Columbus, GA
- NPI 1346348182
Contracted Managing Employee
-
- Nurse Practitioner
- Whitesburg, GA
- NPI 1366400095
Corporate Director, W-2 Managing Employee
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Mt Zion, GA
- NPI 1538117932
5% Or Greater Direct Ownership Interest
-
- Rural Health Clinic/Center
- Whitesburg, GA
- NPI 1750339511
5% Or Greater Mortgage Interest, Operational/Managerial Control
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Rural Health Clinic/Center
- Mt Zion, GA
- NPI 1538117932
2264415538
-
- Rural Health Clinic/Center
- Whitesburg, GA
- NPI 1750339511
2264415538
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0929217 | Franklin Primary Health Care Clinic | Certificate of waiver | Jun 8, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081111000305 | GA | Part a Provider - Rural Health Clinic | 2264415538 | Practice locations: Franklin, GA |
Rural health clinic certification: CCN 113851
Medicare enrollment files- Legal name
- BOWDON- MT. ZION PRIMARY HEALTH CENTER ,INC.
- Doing business as
- FRANLKIN PRIMARY HEALHCARE CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- May 18, 1993
- Last certification
- Aug 24, 2023
- Ownership / control type
- 2B
- Organization structure
- Corporation
- Incorporated
- Oct 9, 1980 in GA
- Enrollment address
- 1236 Franklin Parkway
Franklin, GA 30217-8110
All disclosed owners & managing parties 3
Medicare enrollment filesAs disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Lori Angelina Kingsley | Contracted Managing Employee | Oct 1, 2025 | |
| Cheryl Toney | Corporate Director | Oct 24, 2008 | |
| W-2 Managing Employee | Oct 24, 2008 | ||
| Christy Brewer | W-2 Managing Employee | Mar 6, 2000 |
All facility ownership & control disclosures 2
Medicare enrollment filesFacilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Carroll Co. Priamry Health Care | Rural health clinic | 5% Or Greater Mortgage Interest (7%) Operational/Managerial Control (100%) |
Jun 1, 2012 Oct 9, 1980 |
| Carroll County Primary Health Care | Rural health clinic | 5% Or Greater Direct Ownership Interest | Jun 1, 1982 |
National Provider Directory
National Provider Directory- Tax ID family
- Bowdon- Mt Zion Primary Health Center Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rural Health Clinic/Center
- Mt Zion, GA
- NPI 1538117932
-
- Rural Health Clinic/Center
- Whitesburg, GA
- NPI 1750339511
-
- Family Medicine Physician
- Carrollton, GA
- NPI 1417428772
-
- Family Medicine Physician
- Franklin, GA
- NPI 1427529783
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1236 Franklin Pkwy
Franklin, GA 30217-7508
Mailing address
1236 Franklin Pkwy
Franklin, GA 30217-7508
Phone (706) 675-8669
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000573262A | Medicaid | GA | |
| 000213749B | Medicaid | GA |
Other names 1
NPPES NPI Registry- FRANKLIN CLINIC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2025.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763078400000",
"number": "1417906348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1236 FRANKLIN PKWY",
"city": "FRANKLIN",
"state": "GA",
"postal_code": "302177508",
"telephone_number": "706-675-8669",
"fax_number": "706-675-3303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1236 FRANKLIN PKWY",
"city": "FRANKLIN",
"state": "GA",
"postal_code": "302177508",
"telephone_number": "706-675-8669",
"fax_number": "706-675-3303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOWDON- MT. ZION PRIMARY HEALTH CENTER ,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-08",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A",
"authorized_official_last_name": "BREWER",
"authorized_official_first_name": "CHRISTY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "706-675-8669"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000573262A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000213749B",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FRANKLIN CLINIC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "FRANKLIN CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Franklin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.