Albany Area Primary Health Care, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Albany, GA
NPI 1780608992 · NPPES record last updated Jul 1, 2025
Key facts
- NPI
- 1780608992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- ALBANY AREA PRIMARY HEALTH CARE, INC.
- Practice address
- 1712-A East Broad Avenue
Albany, GA 31705 - Phone
- (229) 639-3100
- Fax
- (229) 888-6516
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Shelley Spires
- Title
- Ceo
- Phone
- (229) 888-6559
Other NPIs on the same Medicare enrollment 34
Practitioners 133
-
Osemelu Aburime, MD
-
Blessing Chinecherem Aroh, MD, MPH, MSC
-
Jana Hart Brock, FNP-C
-
Nick Carden, PHD
-
Courtney Michele Chapman, D.D.S.
-
Chihurum Anyatoha Chigbu, ADVANCE PRACTICE NUR
-
Alesia R Christian, LCSW
-
Amanda M Coleman, PA-C
-
Desiree Dalcherone, DPM
-
Saadi Marco Darvish, O.D
-
Pouria Farhadi, DMD
-
Sheena Elois Favors, D.O, M.S
-
Joan C Fryer, LPC
-
Catherine Denise Hall, APRN
-
Leah C Hall, NP
-
Diane Hamon, LCSW
-
Katherine Jean Hanson, FNP-BC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0265849 | East Albany Medical Center | Provider-performed microscopy | Nov 3, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA
Federally qualified health center certification: CCN 111886
- Legal name
- ALBANY AREA PRIMARY HEALTH CARE, INC
- Doing business as
- EAST ALBANY MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Nov 4, 2004
- Last certification
- Nov 4, 2004
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Nov 29, 1979 in GA
- Enrollment address
- 1712-A E. Broad Avenue
Albany, GA 31705-2611
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Elizabeth J West |
Corporate Director |
May 1, 1998 | |
| Brad R Stafford |
Corporate Director |
Jan 1, 2006 | |
| Christopher L Jones |
Corporate Director |
Apr 1, 2011 | |
| Brenda C Williams |
Corporate Director |
Nov 1, 1992 | |
| Kuanita Murphy |
Corporate Director |
Sep 1, 2011 | |
| Victoria Darrisaw |
Corporate Director |
May 1, 2013 | |
| Adolphus Major |
Corporate Director |
Dec 1, 2015 | |
| Steven E Kitchen |
Corporate Director |
Apr 1, 2015 | |
| Sybil L Thomas |
Corporate Director |
Dec 1, 2007 | |
| Jimmy D Quinn |
Corporate Director |
Jul 1, 2008 | |
| 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
| 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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040217000509 | GA | Part B Supplier - Clinic/Group Practice | 7911811922 |
Receives reassigned benefits from 129 practitioners 34 other NPIs on this enrollment Practice locations: Albany, GA; Americus, GA; Camilla, GA; Cordele, GA; Dawson, GA; Edison, GA; Fort Gaines, GA; Leesburg, GA… |
| O20041028000722 | GA | Part a Provider - Federally Qualified Health Center (FQHC) | 7911811922 | Practice locations: Albany, GA |
National Provider Directory
Locations
512 Liberty Expy SE
Albany, GA 31705
Phone (229) 501-2055
1712 E Broad Ave
Albany, GA 31705
Phone (229) 639-3103
2410 Sylvester Hwy
Albany, GA 31705
Phone (229) 312-9220
1712 E Broad Ave
Ste A
Albany, GA 31705
Phone (229) 405-6192
123 Learning Ln
Americus, GA 31719
Phone (229) 493-9670
420 Johnson St SE
Dawson, GA 39842
Phone (229) 995-2186
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
1712-A East Broad Avenue
Albany, GA 31705
Mailing address
2408 Westgate Dr
Albany, GA 31707-2277
Phone (229) 888-6559
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 489701989A | Medicaid | GA |
Other names
- East Albany Medical Center
Other providers in Albany, GA
- Albany Area Primary Health Care, Inc.
- Albany Area Primary Health Care, Inc.
- Albany Area Primary Health Care, Inc.
- Albany Area Primary Health Care, Inc.
- Albany Area Primary Health Care, Inc.
- Albany Area Primary Health Care, Inc.
- Albany Area Primary Health Care, Inc.
- Albany Area Primary Health Care, Inc.
- Albany Area Primary Health Care, Inc.
- Albany Area Primary Health Care, Inc.
All providers in Albany, GA · Federally Qualified Health Center (FQHC) in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.