NPIMap

Organization Active NPI

Franklin Primary Health Center, Inc.

Doing business as Loxley Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Loxley, AL
National Provider Identifier
1447229208
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FRANKLIN PRIMARY HEALTH CENTER, INC.
Doing business as
Loxley Family Medical Center
Practice address
1083 East Relham Dr
Loxley, AL 36551
Phone
(251) 964-4011
Fax
(251) 436-7765
NPI assigned
Mar 15, 2006
Last updated
Aug 30, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
FRANKLIN PRIMARY HEALTH CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Mr. Charles White
Title
Chief Executive Officer
Phone
(251) 434-8177

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Multi-Specialty Clinic/Center 261QM1300X NU

Addresses

Primary practice location

1083 East Relham Dr
Loxley, AL 36551

Mailing address

PO Box 2048
Mobile, AL 36652-2048
Phone (251) 434-8177

Other identifiers 1

IdentifierTypeStateIssuer
630006014MedicaidAL

Other names 1

  • Loxley Family Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040618000827 AL Part B Supplier - Clinic/Group Practice 1658356308 Receives reassigned benefits from 126 practitioners
25 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mobile, AL; Prichard, AL; Uriah, AL; Frisco City, AL; Loxley, AL; Brewton, AL; Evergreen, AL; Foley, AL…
O20080521000818 AL Part A Provider - Federally Qualified Health Center (FQHC) 1658356308 Practice locations: Loxley, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447229208. Details of each certification follow.

Federally qualified health center certification: CCN 011896

Legal name
FRANKLIN PRIMARY HEALTH CENTER, INC.
Doing business as
LOXLEY FAMILY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 22, 1999
Last certification
Jun 22, 1999
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jan 31, 1975 in AL
Enrollment address
1083 E Relham Dr
Loxley, AL 36551-2406

Other NPIs with the same Medicare PAC ID 19

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

View all 19

Other NPIs on the same Medicare enrollment 25

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

View all 25

National Provider Directory

National Provider Directory
Tax ID family
Franklin Memorial Prima25 organizations share this tax ID, including this one
Part of
Franklin Memorial Prima

Other organizations with this tax ID 24

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

View all 24

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Tyrone Fenderson Individual Corporate OfficerBoard Member Jan 1, 2019
Myrtis Jones Individual Corporate OfficerBoard Member Jan 1, 2014
Myriam Brister Individual Corporate OfficerBoard Member Jan 1, 2014
Almeda Robinson Individual Corporate OfficerBoard Member Jan 1, 2019
Allison Kahalley Individual Corporate OfficerBoard Member Jan 1, 2019
Chris McGadney Individual Corporate OfficerBoard Member Jan 1, 2014
Stan Chavis Individual Corporate OfficerBoard Member Jan 1, 2014
Lula Ifill Individual Corporate OfficerBoard Member Jan 1, 2014
Sydney Raine Individual Corporate OfficerBoard Member Jan 1, 2014
Charles White Individual Corporate DirectorCeo Oct 1, 2014
W-2 Managing EmployeeCeo Jan 1, 2014

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Foley School Based Health CenterFoley, AL, CCN 011028 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 1, 2016

Owned or controlled facilities with NPI records 1

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": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1447229208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2048",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366522048",
            "telephone_number": "251-434-8177",
            "fax_number": "251-436-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 EAST RELHAM DR",
            "city": "LOXLEY",
            "state": "AL",
            "postal_code": "36551",
            "telephone_number": "251-964-4011",
            "fax_number": "251-436-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN PRIMARY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANKLIN PRIMARY HEALTH CENTER, INC",
        "enumeration_date": "2006-03-15",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "251-434-8177",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630006014",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loxley Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Loxley Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loxley, AL

Sources for this page

Verify at the official NPI Registry.