ALBANY AREA PRIMARY HEALTH CARE, INC. (NPI# 1346265550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346265550 |
| Entity Type | Organization |
| Organization Name | ALBANY AREA PRIMARY HEALTH CARE, INC. |
| Other Organization Name | EAST ALBANY PEDIATRIC & ADOLESCENT CENTER |
| Practice Address |
1712-c East Broad Avenue Albany GA 31705 |
| Mailing Address |
Po Box 50098 Albany GA 31703-0098 |
| Practice Telephone | 2296393103 |
| Practice Fax Number | 2298888935 |
| Mailing Telephone | 2296393103 |
| Mailing Fax Number | 2298888935 |
| 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 | 267797696A | 05 |
| Other Name | Type Code |
|---|---|
| East Albany Pediatric & Adolescent 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 |
1712-C EAST BROAD AVENUE |
| City | ALBANY |
| State | GA |
| Zip Code | 31705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740289545 | Belise Livingston-burns | Pediatrics | 1712-c East Broad Avenue, Albany, GA 31705 | 2005-07-14 |
| 1407950876 | Donna Edmond-king | Pediatrics | 1712-c East Broad Avenue, Albany, GA 31705 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346897410 | Bonnie Scott | Technician | 418 Persimmon Road, Albany, GA 31705 | 2019-08-22 |
| 1265962906 | Shoes and Medical Product Solutions LLC | Durable Medical Equipment & Medical Supplies | 1715 E Oglethorpe Blvd, Albany, GA 31705 | 2017-06-15 |
| 1083156079 | Dianne Lanier | Specialist | 217 Johnson Road Suite C, Albany, GA 31705 | 2016-11-08 |
| 1699225342 | Yolanda Fields | Contractor | 609 Pine Glen Drive, Albany, GA 31705 | 2016-10-06 |
| 1225276272 | Michael Bernard Sanders | Prosthetist | 326 Enterprise Dr., Albany, GA 31705 | 2009-01-29 |
| 1588724223 | Karen Baker | Nurse Practitioner | 213 Old Radium Springs Road, Albany, GA 31705 | 2006-12-11 |
| 1780608992 | Albany Area Primary Health Care, Inc. | Clinic/Center | 1712-a East Broad Avenue, Albany, GA 31705 | 2006-07-27 |
| 1396849766 | William Mcpeters | Internal Medicine | 1712-a East Broad Avenue, Albany, GA 31705 | 2006-09-07 |
| 1013019363 | Robyn Mann Johnson | Internal Medicine | 1712-a East Broad Avenue, Albany, GA 31705 | 2006-09-05 |
| 1407958770 | Ronald Malcolm | Physician Assistant | 1712-a East Broad Avenue, Albany, GA 31705 | 2006-09-05 |
| Find all providers in zip 31705 | ||||
| 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 | ||||
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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.