Organization Active NPI

Northeast Health District

  • State or Local Public Health Clinic/Center
  • Athens, GA
National Provider Identifier
1174668255
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
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 DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000957778AMedicaidGA

Other names 1

  • Children's Medical Services Doing business as

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

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.

Verify at the official NPI Registry.