NPIMap

Organization Active NPI

Elbert County Health Department

  • State or Local Public Health Clinic/Center
  • Elberton, GA
National Provider Identifier
1215460779
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
ELBERT COUNTY HEALTH DEPARTMENT
Practice address
618 Jones St
Elberton, GA 30635-1985
Phone
(706) 283-3775
Fax
(706) 283-7155
NPI assigned
Apr 11, 2017
Organization subpart
Yes
Parent organization
ELBERT COUNTY HEALTH DEPARTMENTAs 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, MDNPI 1952411399
Title
Health Director
Phone
(706) 583-2870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X GA Primary

Addresses

Primary practice location

618 Jones St
Elberton, GA 30635-1985

Mailing address

618 Jones St
Elberton, GA 30635-1985
Phone (706) 283-3775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160203001873 GA Part B Supplier - Clinic/Group Practice 4981853751 Receives reassigned benefits from 9 practitioners
Practice locations: Elberton, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Elbert County Health Dep2 organizations share this tax ID, including this one
Part of
Elbert County Health Dep

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1215460779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 JONES ST",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306351985",
            "telephone_number": "706-283-3775",
            "fax_number": "706-283-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 JONES ST",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306351985",
            "telephone_number": "706-283-3775",
            "fax_number": "706-283-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELBERT COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELBERT COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2017-04-11",
        "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": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elberton, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.