Organization Active NPI

Bowdon- Mt. Zion Primary Health Center ,Inc.

  • 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.
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.

Owned or controlled facilities with NPI records 2

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

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

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

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

All disclosed owners & managing parties 3

Medicare enrollment files

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

All facility ownership & control disclosures 2

Medicare enrollment files

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

National Provider Directory

National Provider Directory
Tax ID family
Bowdon- Mt Zion Primary Health Center Inc5 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.

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
000573262AMedicaidGA
000213749BMedicaidGA

Other names 1

NPPES NPI Registry
  • FRANKLIN CLINIC Doing business as

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

Verify at the official NPI Registry.