Active NPI
Northeast Health District
- State or Local Public Health Clinic/Center
- Athens, GA
National Provider Identifier
1174668255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- Legal business name
- NORTHEAST HEALTH DISTRICT
- Doing business as
- Children's Medical Services
- Practice address
- 740 Prince Ave BLDG 15
Athens, GA 30606 - Phone
- (706) 389-6923
- Fax
- (706) 552-4536
- NPI assigned
- Feb 20, 2007
- Organization subpart
- Yes
- Parent organization
- NORTHEAST HEALTH DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald S Goggans, MD
- Title
- Health Director
- Phone
- (706) 583-2870
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| State or Local Public Health Clinic/Center | 261QP0905X | Primary |
Addresses
Primary practice location
740 Prince Ave BLDG 15
Athens, GA 30606
Mailing address
740 Prince Ave Ste 15
Athens, GA 30606-5903
Phone (706) 389-6923
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000957778A | Medicaid | GA |
Other names 1
- Children's Medical Services
National Provider Directory
National Provider Directory- Part of
- Northeast Health District
Locations
645 Meigs St
Athens, GA 30601
Phone (706) 542-9653
700 Sunset Dr
Ste 501
Athens, GA 30606
Phone (706) 208-0065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753228800000",
"number": "1174668255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 PRINCE AVE STE 15",
"city": "ATHENS",
"state": "GA",
"postal_code": "306065903",
"telephone_number": "706-389-6923",
"fax_number": "706-552-4536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 PRINCE AVE BLDG 15",
"city": "ATHENS",
"state": "GA",
"postal_code": "30606",
"telephone_number": "706-389-6923",
"fax_number": "706-552-4536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST HEALTH DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTHEAST HEALTH DISTRICT",
"enumeration_date": "2007-02-20",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A",
"authorized_official_last_name": "GOGGANS",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "HEALTH DIRECTOR",
"authorized_official_telephone_number": "706-583-2870",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000957778A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Children's Medical Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Children's Medical Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Athens, GA
- Northeast Georgia Procedure Center LLC
- Northeast Georgia Regional Commission, Inc.
- Northeast Georgia Surgical Consultants PC
- Northeast Georgia Vision Care LLC
- Northeast Georgia Wellness Associates, LLC
- Northrise Psychiatric and Addiction Medicine
- Alissa Northrup, LAPC
- Northside Imaging LLC
- Northwest Diagnostic Imaging, Inc
- Carol B Norton, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.