ALBANY AREA PRIMARY HEALTH CARE, INC. (NPI# 1467967588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467967588 |
| Entity Type | Organization |
| Organization Name | ALBANY AREA PRIMARY HEALTH CARE, INC. |
| Other Organization Name | LIVE OAK ELEMENTARY SCHOOL-BASED HEALTH CENTER |
| Practice Address |
4529 Gillionville Rd Albany GA 31721-9566 |
| Mailing Address |
204 N Westover Blvd Albany GA 31707-2983 |
| Practice Telephone | 2294056188 |
| Practice Fax Number | 2292994143 |
| Mailing Telephone | 2298886559 |
| Mailing Fax Number | 2294364107 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |
| 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 |
| Other Name | Type Code |
|---|---|
| Live Oak Elementary School-Based Health 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 |
| 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 |
| 1568784056 | Albany Area Primary Health Care, Inc. | Clinical Medical Laboratory | 1711 E. Broad Avenue, Albany, GA 31705-2311 | 2010-02-24 |
| 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 |
4529 GILLIONVILLE RD |
| City | ALBANY |
| State | GA |
| Zip Code | 31721-9566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801354139 | Quintavius Martin | Physical Therapy Assistant | 2933 Stonewater Drive, Albany, GA 31721 | 2019-03-05 |
| 1851809180 | Dialysis Clinic Inc | Clinic/Center | 650 Pointe North Blvd, Albany, GA 31721 | 2018-01-22 |
| 1336668961 | Muntaisha Shunquill Ross | Contractor | 3718 Mayfair Lane, Apt B, Albany, GA 31721 | 2017-09-14 |
| 1861942252 | Winifred Davis | Contractor | 407 Wiregrass Way, Albany, GA 31721 | 2016-10-10 |
| 1023347937 | Southwest Oral and Maxillofacial Surgery,llc | Dentist | 620 Pointe North Boulevard, Albany, GA 31721 | 2009-12-24 |
| 1922203413 | John Ronald Andrews | Radiology | 2205 West Doublegate Drive, Albany, GA 31721 | 2007-06-15 |
| 1124147608 | Jeffrey R Singleton | Dentist | 602 Pointe North Blvd., Albany, GA 31721 | 2007-03-28 |
| 1508921883 | Thomas William Monahan IIi | Dentist | 609 Pointe North Blvd, Albany, GA 31721 | 2006-12-27 |
| 1437563475 | Michael James Cox | Dentist | 602 Pointe North Blvd, Albany, GA 31721-1513 | 2014-06-18 |
| 1366553901 | Tania Smith | Pediatrics | 600 Pointe North Blvd, Albany, GA 31721-1513 | 2006-08-31 |
| Find all providers in zip 31721 | ||||
| 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 |
| 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 |
| 1194804278 | Shackelford County Community Resource Center | Clinic/Center | 725 Pate Street, Albany, TX 76430 | 2006-11-02 |
| Find all providers in ALBANY | ||||
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| 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.