NPIMap

Organization Active NPI

Franklin Primary Health Center, Inc

Doing business as Foley School Based Health Center

  • Family Medicine Physician
  • Foley, AL
National Provider Identifier
1891141271
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FRANKLIN PRIMARY HEALTH CENTER, INC
Doing business as
Foley School Based Health Center
Practice address
301 W Laurel Ave
Foley, AL 36535-1920
Phone
(251) 424-1340
Fax
(251) 943-5801
NPI assigned
May 4, 2016
Last updated
Aug 30, 2022By the provider in NPPES
Organization subpart
No

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 N/a White
Title
Ceo
Phone
(251) 432-4117

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU
Family Medicine Physician 207Q00000X NU Primary
Adult Medicine Physician 207QA0505X NU
Geriatric Medicine (Family Medicine) Physician 207QG0300X NU
Pediatrics Physician 208000000X NU
Pediatric Adolescent Medicine Physician 2080A0000X NU
Developmental - Behavioral Pediatrics Physician 2080P0006X NU
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X NU
General Practice Physician 208D00000X NU
Obesity Medicine (Family Medicine) Physician 207QB0002X NU
Pediatric Obesity Medicine Physician 2080B0002X NU

Addresses

Primary practice location

301 W Laurel Ave
Foley, AL 36535-1920

Mailing address

1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Phone (251) 432-4117

Other names 1

  • Foley School Based Health 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…
O20161021001620 AL Part A Provider - Federally Qualified Health Center (FQHC) 1658356308 Practice locations: Foley, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891141271. Details of each certification follow.

Federally qualified health center certification: CCN 011028

Legal name
FRANKLIN PRIMARY HEALTH CENTER, INC.
Doing business as
FOLEY SCHOOL BASED HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 21, 2016
Last certification
Oct 21, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 31, 1975 in AL
Enrollment address
301 W Laurel Ave
Foley, AL 36535-1920

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

Other organizations with this tax ID 24

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

View all 24

Locations

301 W Laurel Ave
Foley, AL 36535
Phone (251) 320-3205

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Myrtis Jones Individual Corporate OfficerBoard Member May 1, 2016
Corporate DirectorBoard Member May 1, 2016
W-2 Managing EmployeeBoard Member May 1, 2016
Myriam Brister Individual Corporate OfficerBoard Member May 1, 2016
Corporate DirectorBoard Member May 1, 2016
W-2 Managing EmployeeBoard Member May 1, 2016
Franklin Primary Health Center, Inc. Organization, Foley, AL Corporation 5% Or Greater Direct Ownership Interest May 1, 2016 100%
Chris McGadney Individual Corporate OfficerBoard Member May 1, 2016
Corporate DirectorBoard Member May 1, 2016
W-2 Managing EmployeeBoard Member May 1, 2016
Ronald Martin Individual Corporate OfficerBoard Member May 1, 2016
Corporate DirectorBoard Member May 1, 2016
W-2 Managing EmployeeBoard Member May 1, 2016
Herman Harville Individual Corporate OfficerBoard Member May 1, 2016
Corporate DirectorBoard Member May 1, 2016
W-2 Managing EmployeeBoard Member May 1, 2016
Rosa Hart Individual Corporate OfficerBoard Member May 1, 2016
Corporate DirectorBoard Member May 1, 2016
W-2 Managing EmployeeBoard Member May 1, 2016
Stan Chavis Individual Corporate OfficerBoard Member May 1, 2016
Corporate DirectorBoard Member May 1, 2016
W-2 Managing EmployeeBoard Member May 1, 2016
Lula Ifill Individual Corporate OfficerBoard Member May 1, 2016
Corporate DirectorBoard Member May 1, 2016
W-2 Managing EmployeeBoard Member May 1, 2016
Sydney Raine Individual Corporate OfficerBoard Member May 1, 2016
Corporate DirectorBoard Member May 1, 2016
W-2 Managing EmployeeBoard Member May 1, 2016
Charles White Individual Corporate OfficerCeo May 1, 2016
Corporate DirectorCeo May 1, 2016
W-2 Managing EmployeeCeo May 1, 2016

Owners & managing parties with NPI records 19

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 19

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1891141271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 DR MARTIN L KING JR AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366035341",
            "telephone_number": "251-432-4117",
            "fax_number": "251-436-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W LAUREL AVE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351920",
            "telephone_number": "251-424-1340",
            "fax_number": "251-943-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN PRIMARY HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "N/A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "251-432-4117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080B0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foley School Based Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foley School Based Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Foley, AL

Sources for this page

Verify at the official NPI Registry.