NPIMap

Organization Active NPI

Franklin Primary Health Center Inc.

Doing business as Charles White Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
National Provider Identifier
1952885600
Registry record updated Jun 4, 2024
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
Charles White Family Health Center
Practice address
990 Cody Rd North
Mobile, AL 36608
Phone
(251) 432-4117
Fax
(251) 436-7765
NPI assigned
Sep 19, 2018
Last updated
Jun 4, 2024By 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 Jun 4, 2024

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

Authorized official

Name
Mr. Charles White
Title
Ceo
Phone
(251) 432-4117

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X
General Practice Dentistry 1223G0001X
Nutritionist 133N00000X
Optometrist 152W00000X
Pharmacist 183500000X
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Pediatrics Physician 208000000X
Body Imaging Physician 2085B0100X
General Practice Physician 208D00000X
Community Health Clinic/Center 261QC1500X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Nurse Practitioner 363L00000X
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

990 Cody Rd North
Mobile, AL 36608

Mailing address

990 Cody Rd North
Mobile, AL 36608
Phone (251) 432-4117

Other names 1

  • Charles White Family 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…
O20181115001836 AL Part A Provider - Federally Qualified Health Center (FQHC) 1658356308 Practice locations: Mobile, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952885600. Details of each certification follow.

Federally qualified health center certification: CCN 011048

Legal name
FRANKLIN PRIMARY HEALTH CENTER, INC.
Doing business as
CHARLES WHITE FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 16, 2018
Last certification
Nov 16, 2018
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
in AL
Enrollment address
990 Cody Rd N
Mobile, AL 36608-4833

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 Primary Health Center Inc25 organizations share this tax ID, including this one
Part of
Franklin Primary Health Center Inc

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 14

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 Jan 1, 2018
Myriam Brister Individual Corporate OfficerBoard Member Jan 1, 2018
Almeda Robinson Individual Corporate OfficerBoard Member Jan 1, 2018
Allison Kahalley Individual Corporate OfficerBoard Member Jan 1, 2018
Chris McGadney Individual Corporate OfficerBoard Member Jan 1, 2018
Ronald Martin Individual Corporate OfficerBoard Member Jan 1, 2018
Herman Harville Individual Corporate OfficerBoard Member Jan 1, 2018
Stan Chavis Individual Corporate OfficerBoard Member Jan 1, 2018
Anquayetta Fore Individual Corporate OfficerBoard Member Jan 1, 2018
Lula Ifill Individual Corporate OfficerBoard Member Jan 1, 2018
Sydney Raine Individual Corporate OfficerBoard Member Jan 1, 2018
Sondora Leverett Individual Corporate OfficerBoard Member Jan 1, 2018
Charles White Individual 5% Or Greater Direct Ownership InterestCeo Jan 1, 2024
Corporate OfficerCeo Jan 1, 2018
Corporate DirectorCeo Jan 1, 2018
W-2 Managing EmployeeCeo Jan 1, 2018
Taylor H Hodge Individual Corporate OfficerBoard Member Jan 1, 2018

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": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1952885600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 CODY RD NORTH",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "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": "990 CODY RD NORTH",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "251-432-4117",
            "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": "2018-09-19",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "251-432-4117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles White Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.