Greene County Health Department
Organization Active NPI State or Local Public Health Clinic/Center · Greensboro, GA
NPI 1124551684 · NPPES record last updated Jul 23, 2025
Key facts
- NPI
- 1124551684
- Entity type
- Organization (NPI type 2)
- Primary specialty
- State or Local Public Health Clinic/Center 261QP0905X
- Legal business name
- GREENE COUNTY HEALTH DEPARTMENT
- Practice address
- 1031 Apalachee Ave
Greensboro, GA 30642-2710 - Phone
- (706) 453-7561
- Fax
- (706) 453-9120
- NPI assigned
- Apr 11, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- GREENE COUNTY HEALTH DEPARTMENT
Authorized official
- Name
- Donald S Goggans, MD
- Title
- Health Director
- Phone
- (706) 583-2870
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Practitioners 10
-
Kayla Samara Bentley, MSN,APRN,WHNP-BC
-
Ashleigh Danielle Grizzle, MSN, APRN, FNP-C
-
Sharon Lynn Lacount, FNP-BC
-
Leah Malcom Ainslie, FNP-C
-
Gloria D'Laine Caldwell, M.S., R.N., WHNP-BC
-
Jessica M Etienne, FNP-BC
-
Carol Lumpkin, WHNP-BC
-
Nancy Williams, FNP-C
-
Claude A Burnett III, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160208002156 | GA | Part B Supplier - Clinic/Group Practice | 9537318019 |
Receives reassigned benefits from 9 practitioners 1 other NPI on this enrollment Practice locations: Greensboro, GA |
National Provider Directory
- Part of
- Greene County Health de
Locations
1031 Apalachee Ave
Greensboro, GA 30642
Phone (706) 453-7561
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| State or Local Public Health Clinic/Center | 261QP0905X | GA | Yes |
Addresses
Primary practice location
1031 Apalachee Ave
Greensboro, GA 30642-2710
Mailing address
PO Box 867
Greensboro, GA 30642-0867
Phone (706) 453-7561
Other providers in Greensboro, GA
- Tera Anita Green
- Greene County Board of Commissioners
- Greene County Board of Education
- Greene County Health Department
- Greene County Health Department
- Greene County Nursing Center LLC
- Greene County Senior Center
- Greensboro Dialysis Facility, L.L.C.
- Greensboro Nephrology
- Greensboro Pharmacy LLC
All providers in Greensboro, GA · State or Local Public Health Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.