Active NPI
Elbert County Health Department
- State or Local Public Health Clinic/Center
- Elberton, GA
National Provider Identifier
1285770586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- 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
- Jan 30, 2007
- Organization subpart
- Yes
- Parent organization
- ELBERT COUNTY HEALTH DEPARTMENT
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
618 Jones St
Elberton, GA 30635-1985
Mailing address
618 Jones St
Elberton, GA 30635-1985
Phone (706) 283-3775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000456574I | Medicaid | GA |
Other names 1
- ELBERT CO BD OF HLTH
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121011000505 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 4981853751 | 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).
-
- State or Local Public Health Clinic/Center
- Elberton, GA
- NPI 1215460779
4981853751
National Provider Directory
National Provider Directory- Part of
- Elbert County Health Dep
Locations
618 Jones St
Elberton, GA 30635
Phone (706) 283-3775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753228800000",
"number": "1285770586",
"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": "2007-01-30",
"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": "000456574I",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ELBERT CO BD OF HLTH",
"code": "3",
"type": "Doing Business As"
}
]
}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.