NPIMap

Organization Active NPI

Franklin Primary Health Center, Inc

  • Optometrist
  • Mobile, AL
National Provider Identifier
1497724256
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FRANKLIN PRIMARY HEALTH CENTER, INC
Practice address
572 Stanton Rd
Mobile, AL 36617
Phone
(251) 450-8055
Fax
(251) 436-7765
NPI assigned
Mar 15, 2006
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) 432-4117

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Federally Qualified Health Center (FQHC) 261QF0400X

Addresses

Primary practice location

572 Stanton Rd
Mobile, AL 36617

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
630009014MedicaidAL

Other names 1

  • Hadley 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…
O20080401000742 AL Part A Provider - Federally Qualified Health Center (FQHC) 1658356308 Practice locations: Mobile, AL

Federally qualified health center certification: CCN 011909

Legal name
FRANKLIN PRIMARY HEALTH CENTER, INC.
Doing business as
HADLEY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 12, 2001
Last certification
Jun 12, 2001
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 31, 1975 in AL
Enrollment address
572 Stanton Rd
Mobile, AL 36617-2324

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 Prim25 organizations share this tax ID, including this one
Part of
Franklin Memorial Prim

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 16

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

NameRoleSinceShare
Glender Montgomery Individual Corporate Director May 1, 2008
Tyrone Fenderson Individual Corporate DirectorBoard Member Jan 1, 2019
Myrtis Jones Individual Corporate DirectorBoard Member Jan 1, 1993
Myriam Brister Individual Corporate OfficerBoard Member Jan 1, 2006
Almeda Robinson Individual Corporate DirectorBoard Member Jan 1, 2019
Allison Kahalley Individual Corporate DirectorBoard Member Jan 1, 2019
Chris McGadney Individual Corporate DirectorBoard Member Nov 1, 2007
Ronald Martin Individual Corporate DirectorBoard Member Nov 1, 2007
Herman Harville Individual Corporate DirectorBoard Member Jan 1, 1999
Stan Chavis Individual Corporate DirectorBoard Member Jan 1, 2006
Anquayetta Fore Individual Corporate DirectorBoard Member Jan 1, 2019
Lula Ifill Individual Corporate DirectorBoard Member Jan 1, 2007
Sydney Raine Individual Corporate DirectorBoard Member Jan 1, 1993
Sondora Leverett Individual Corporate DirectorBoard Member Jan 1, 2019
Charles White Individual Corporate DirectorCeo Jan 1, 1998
W-2 Managing EmployeeCeo May 7, 2008
Taylor H Hodge Individual Corporate DirectorBoard Member Jan 1, 2019

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.

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 50

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": "1497724256",
    "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": "572 STANTON RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36617",
            "telephone_number": "251-450-8055",
            "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": "251-432-4117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630009014",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hadley Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hadley Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.