ALBANY AREA PRIMARY HEALTH CARE, INC. (NPI# 1023043692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023043692 |
| Entity Type | Organization |
| Organization Name | ALBANY AREA PRIMARY HEALTH CARE, INC. |
| Other Organization Name | SOUTH ALBANY MEDICAL CENTER |
| Practice Address |
1300 Newton Rd Albany GA 31701-3424 |
| Practice Telephone | 2294313120 |
| Practice Fax Number | 2294313345 |
| Mailing Telephone | 2294313120 |
| Mailing Fax Number | 2294313345 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2015-10-15 |
| Authorized Official Name | SHELLEY SPIRES (CEO) |
| Authorized Official Telephone | 2298886559 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RR MEDICARE | CB1471 | 01 |
| GA | RR MEDICARE | CK1476 | 01 |
| GA | 139632799A | 05 |
| Other Name | Type Code |
|---|---|
| South Albany Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700360435 | Albany Area Primary Health Care, Inc. | Clinic/Center | 2403 Osler Ct., Ste A, Albany, GA 31707-0205 | 2018-09-19 |
| 1841770971 | Albany Area Primary Health Care, Inc. | Pharmacy | 1712 E Broad Ave Ste A, Albany, GA 31705-2611 | 2018-08-17 |
| 1013422161 | Albany Area Primary Health Care, Inc. | Clinic/Center | 1305 E 2nd Ave, Albany, GA 31705-1315 | 2017-12-12 |
| 1467967588 | Albany Area Primary Health Care, Inc. | Clinic/Center | 4529 Gillionville Rd, Albany, GA 31721-9566 | 2017-12-12 |
| 1699131920 | Albany Area Primary Health Care, Inc. | Clinic/Center | 330 Old Hatley Rd, Cordele, GA 31015-5104 | 2015-12-31 |
| 1326404658 | Albany Area Primary Health Care, Inc. | Clinic/Center | 455 Greenwave Blvd, Dawson, GA 39842-2908 | 2015-12-31 |
| 1164888491 | Albany Area Primary Health Care, Inc. | Clinic/Center | 2403 Osler Ct Ste B, Albany, GA 31707-0205 | 2015-12-31 |
| 1427413137 | Albany Area Primary Health Care, Inc. | Clinic/Center | 11949 Us Highway 41, Pinehurst, GA 31070-7467 | 2015-12-22 |
| 1902277635 | Albany Area Primary Health Care, Inc. | Clinic/Center | 1700 Cordell Ave, Albany, GA 31705-1497 | 2015-10-07 |
| 1003287731 | Albany Area Primary Health Care, Inc. | Clinic/Center | 1425 W Oakridge Dr, Albany, GA 31707-5306 | 2015-10-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALBANY AREA PRIMARY HEALTH CARE, INC | 204 N Westover Blvd, Albany, GA 31707-2983 |
| Street Address |
1300 NEWTON RD |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114364130 | Chimezie Obinna Nlewem | Family Medicine | 1300 Newton Rd, Albany, GA 31701-3424 | 2013-05-31 |
| 1861644429 | James Michael Brooks | Nurse Practitioner | 1300 Newton Rd, Albany, GA 31701-3424 | 2008-10-15 |
| 1972797322 | Matthew W Ard | Physician Assistant | 1300 Newton Rd, Albany, GA 31701-3424 | 2007-08-29 |
| 1730382342 | Ignatius Nnalede Ohamadike | Internal Medicine | 1300 Newton Rd, Albany, GA 31701-3424 | 2007-06-10 |
| 1750445672 | Helen B. Donnan | Registered Nurse | 1300 Newton Rd, Albany, GA 31701-3424 | 2006-12-22 |
| 1073624615 | Bernard Scoggins | Internal Medicine | 1300 Newton Rd, Albany, GA 31701-3424 | 2006-08-31 |
| 1689786360 | Joycelyn Williams Yates | Social Worker | 1300 Newton Rd, Albany, GA 31701-3424 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909079 | Northwest Health Services Inc | Clinic/Center | 202 S East St, Albany, MO 64402-1836 | 2020-10-12 |
| 1700360435 | Albany Area Primary Health Care, Inc. | Clinic/Center | 2403 Osler Ct., Ste A, Albany, GA 31707-0205 | 2018-09-19 |
| 1013422161 | Albany Area Primary Health Care, Inc. | Clinic/Center | 1305 E 2nd Ave, Albany, GA 31705-1315 | 2017-12-12 |
| 1467967588 | Albany Area Primary Health Care, Inc. | Clinic/Center | 4529 Gillionville Rd, Albany, GA 31721-9566 | 2017-12-12 |
| 1770096984 | Cfdshc, Inc | Clinic/Center | 314 South Manning Blvd, Albany, NY 12208-1708 | 2017-11-09 |
| 1942660105 | Whitney M. Young Jr. Health Center, Inc. | Clinic/Center | 10 Dewitt Street, Whitney M. Young Jr. Health Center, Inc., Albany, NY 12207-1300 | 2016-03-02 |
| 1164888491 | Albany Area Primary Health Care, Inc. | Clinic/Center | 2403 Osler Ct Ste B, Albany, GA 31707-0205 | 2015-12-31 |
| 1902277635 | Albany Area Primary Health Care, Inc. | Clinic/Center | 1700 Cordell Ave, Albany, GA 31705-1497 | 2015-10-07 |
| 1003287731 | Albany Area Primary Health Care, Inc. | Clinic/Center | 1425 W Oakridge Dr, Albany, GA 31707-5306 | 2015-10-07 |
| 1558743005 | Cumberland Family Medical Center, Inc. | Clinic/Center | 65 High School Dr, Albany, KY 42602-8986 | 2015-06-22 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on ALBANY AREA PRIMARY HEALTH CARE, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.