Organization Active NPI

Bowdon- Mt. Zion Primary Health Center ,Inc.

Doing business as Franklin Clinic

  • Rural Health Clinic/Center
  • Franklin, GA
National Provider Identifier
1417906348
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BOWDON- MT. ZION PRIMARY HEALTH CENTER ,INC.
Doing business as
Franklin Clinic
Practice address
1236 Franklin Pkwy
Franklin, GA 30217-7508
Phone
(706) 675-8669
Fax
(706) 675-3303
NPI assigned
May 8, 2006
Last updated
Nov 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christy Brewer
Title
Office Manager
Phone
(706) 675-8669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1236 Franklin Pkwy
Franklin, GA 30217-7508

Mailing address

1236 Franklin Pkwy
Franklin, GA 30217-7508
Phone (706) 675-8669

Other names 1

  • FRANKLIN CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081111000305 GA Part A Provider - Rural Health Clinic 2264415538 Practice locations: Franklin, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417906348. Details of each certification follow.

Rural health clinic certification: CCN 113851

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
CorporationNon-profit
Incorporated
Oct 9, 1980 in GA
Enrollment address
1236 Franklin Parkway
Franklin, GA 30217-8110

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0929217Franklin Primary Health Care Clinic1236 Franklin Parkway, Franklin, GA 30217Certificate of waiverJun 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Franklin Primary Health5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Lori Angelina Kingsley Individual Contracted Managing EmployeeMD; Oct 1, 2025
Cheryl Toney Individual Corporate DirectorClinic Director Oct 24, 2008
W-2 Managing Employee Oct 24, 2008
Christy Brewer Individual W-2 Managing EmployeeOffice Manager Mar 6, 2000

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Carroll Co. Priamry Health CareWhitesburg, GA, CCN 113835 Rural health clinic 5% Or Greater Mortgage Interest (7%)
Operational/Managerial Control (100%)
Jun 1, 2012
Oct 9, 1980
Carroll County Primary Health CareCarrollton, GA, CCN 113825 Rural health clinic 5% Or Greater Direct Ownership Interest Jun 1, 1982

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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": [],
    "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

Verify at the official NPI Registry.