Active NPI
Albany Area Primary Health Care, Inc.
Doing business as Martin Luther King Jr. Elementary School-Based Health Center
- Federally Qualified Health Center (FQHC)
- Albany, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- ALBANY AREA PRIMARY HEALTH CARE, INC.
- Doing business as
- Martin Luther King Jr. Elementary School-Based Health Center
- Practice address
- 3125 Martin Luther King Jr Dr
Albany, GA 31701-4309 - Phone
- (229) 888-6650
- Fax
- (229) 434-1401
- NPI assigned
- May 20, 2025
- Last updated
- May 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shelley Spires
- Title
- Ceo
- Phone
- (229) 888-6559
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
3125 Martin Luther King Jr Dr
Albany, GA 31701-4309
Mailing address
2408 Westgate Dr
Albany, GA 31707-2277
Phone (229) 888-6559
Other names 1
- Martin Luther King Jr. Elementary School-Based Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250906000633 | GA | Part A Provider - Federally Qualified Health Center (FQHC) | 7911811922 | Practice locations: Albany, GA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1699567297. Details of each certification follow.
Federally qualified health center certification: CCN C21058
- Legal name
- ALBANY AREA PRIMARY HEALTH CARE, INC
- Doing business as
- MARTIN LUTHER KING JR ELEMENTARY SCHOOL-BASE HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Aug 19, 2025
- Last certification
- Aug 19, 2025
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Enrollment address
- 3125 Martin Luther King Jr Dr
Albany, GA 31701-4309
National Provider Directory
National Provider Directory- Tax ID family
- Albany Area Primary Hea
Other organizations with this tax ID 33
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Radium Springs Middle School-Based Health Center
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1013709625
-
dba AAPHC Leesburg Pharmacy
- Community/Retail Pharmacy
- Leesburg, GA
- NPI 1023712890
-
dba Rural HIV Model Thomasville
- Federally Qualified Health Center (FQHC)
- Thomasville, GA
- NPI 1235489683
-
dba Albany Area Pediatrics
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1508596040
-
dba AAPHC Americus Behavioral Wellness Center
- Federally Qualified Health Center (FQHC)
- Americus, GA
- NPI 1972192250
-
dba Robert Harvey Elementary School-Based Health Center
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1013422161
-
dba Hotz Scoggins Family Medical Center
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1033579412
-
dba West Town Elementary School-Based Health Center
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1043002652
-
dba AAPHC Elois Edge Women's Health Center
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1063129187
-
dba Mirian Worthy Women's Health Center
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1134366834
-
dba AAPHC Wellness Center
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1164120705
-
dba AAPHC Renaissance Center
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1164888491
Ownership & related parties
All disclosed owners & managing parties 13
As 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 |
|---|---|---|---|
| Cassandra Daniels | Corporate Director | May 1, 2020 | |
| Brad R Stafford | Corporate Director | Jan 1, 2006 | |
| Willie M McNair | Corporate Director | Apr 24, 2025 | |
| Brenda C Williams | Corporate Director | Nov 1, 1992 | |
| Kuanita Murphy | Corporate Director | Sep 1, 2011 | |
| William J Peterson | Corporate Director | Nov 1, 2021 | |
| Victoria Darrisaw | Corporate Director | May 1, 2013 | |
| Robert Sternenberg | Corporate Director | Feb 1, 2013 | |
| Chester B Floyd | Corporate Director | May 22, 2025 | |
| Sybil L Thomas | Corporate Director | Dec 1, 2007 | |
| Jimmy D Quinn | Corporate Director | Jul 1, 2006 | |
| Shelley Spires | Corporate Officer | Sep 4, 2015 | |
| W-2 Managing Employee | Sep 4, 2015 | ||
| Douglas W Patten | Corporate Director | Dec 1, 2008 |
All facility ownership & control disclosures 18
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Mirian Worthy Women's Health Center | Federally qualified health center | Operational/Managerial Control (100%) | Nov 29, 1979 |
| West Albany Dental & Medical Center | Federally qualified health center | Operational/Managerial Control | Jun 14, 2011 |
| S.Trussell Medical Center | Federally qualified health center | Operational/Managerial Control (100%) | Jun 1, 2010 |
| Rural HIV Model Thomasville | Federally qualified health center | Operational/Managerial Control (100%) | Nov 29, 1979 |
| Alice Coachman Elementary School-Based Health Center | Federally qualified health center | Operational/Managerial Control (100%) | Nov 29, 1979 |
| Albany Middle School-Based Health Center | Federally qualified health center | Operational/Managerial Control (100%) | Nov 29, 1979 |
| Dooly County School-Based Health Center | Federally qualified health center | Operational/Managerial Control (100%) | Nov 29, 1979 |
| Aaphc Renaissance Center | Federally qualified health center | Operational/Managerial Control (100%) | Nov 29, 1979 |
| Terrell County School-Based Health Center | Federally qualified health center | Operational/Managerial Control (100%) | Nov 29, 1979 |
| Hotz Scoggins Family Medical Center | Federally qualified health center | Operational/Managerial Control (100%) | Nov 29, 1979 |
| Robert Harvey Elementary School-Based Health Center | Federally qualified health center | Operational/Managerial Control (100%) | Nov 29, 1979 |
| Live Oak Elementary School-Based Health Center | Federally qualified health center | Operational/Managerial Control (100%) | Nov 29, 1979 |
| Aaphc Americus Behavioral Wellness Center | Federally qualified health center | Operational/Managerial Control (100%) | Nov 29, 1979 |
| Mitchell County School-Based Health Center | Federally qualified health center | Operational/Managerial Control (100%) | Nov 29, 1979 |
| Albany Area Pediatrics | Federally qualified health center | Operational/Managerial Control (100%) | Nov 29, 1979 |
| Aaphc Elois Edge Women's Health Center | Federally qualified health center | Operational/Managerial Control (100%) | Nov 29, 1979 |
| Albany Area Primary Health Care, Inc | Federally qualified health center | Operational/Managerial Control (100%) | Nov 29, 1979 |
| Albany Area Primary Health Care, Inc | Federally qualified health center | Operational/Managerial Control (100%) | Nov 29, 1979 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747699200000",
"number": "1699567297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2408 WESTGATE DR",
"city": "ALBANY",
"state": "GA",
"postal_code": "317072277",
"telephone_number": "229-888-6559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 MARTIN LUTHER KING JR DR",
"city": "ALBANY",
"state": "GA",
"postal_code": "317014309",
"telephone_number": "229-888-6650",
"fax_number": "229-434-1401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALBANY AREA PRIMARY HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-20",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A",
"authorized_official_last_name": "SPIRES",
"authorized_official_first_name": "SHELLEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "229-888-6559"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Martin Luther King Jr. Elementary School-Based Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albany, GA
- Albany Area Primary Health Care, Inc. (Turner Elementary School-Based Health Center)
- Albany Area Primary Health Care, Inc. (Evolution Wellness Women's Center)
- Albany Area Primary Health Care, Inc. (Albany Area Laboratory)
- Albany Area Primary Health Care, Inc. (West Albany Dental & Medical Center)
- Albany Area Primary Health Care, Inc. (Albany Pediatric and Adolescent Center)
- Albany Area Primary Health Care, Inc. (AAPHC Northwest Family Medical and Dental Center)
- Albany Area Primary Health Care, Inc. (East Albany Medical Center)
- Albany Area Primary Health Care, Inc. (AAPHC Women's Health Center)
- Albany Area Primary Health Care, Inc. (Rural Model Clinic)
- Albany Area Primary Health Care, Inc. (AAPHC Glover Dental Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.