NPIMap

Organization Active NPI

Jackson County Health Department

Doing business as Jackson Co BD of HLTH

  • State or Local Public Health Clinic/Center
  • Jefferson, GA
National Provider Identifier
1649317686
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
JACKSON COUNTY HEALTH DEPARTMENT
Doing business as
Jackson Co BD of HLTH
Practice address
341 Stan Evans Dr
Jefferson, GA 30549-2909
Phone
(706) 367-5204
Fax
(706) 367-9023
NPI assigned
Jan 31, 2007
Last updated
Jul 23, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
JACKSON 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 with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

341 Stan Evans Dr
Jefferson, GA 30549-2909

Mailing address

341 Stan Evans Dr
Jefferson, GA 30549-2909
Phone (706) 367-5204

Other names 1

  • JACKSON CO BD OF HLTH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050308000572 GA Part B Supplier - Mass Immunization (Roster Biller Only) 8325092893 1 other NPI on this enrollment
Practice locations: Commerce, GA; Jefferson, GA

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Jackson County Health D

Locations

623 S Elm St
Commerce, GA 30529
Phone (706) 335-3895

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1649317686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 STAN EVANS DR",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305492909",
            "telephone_number": "706-367-5204",
            "fax_number": "706-367-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 STAN EVANS DR",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305492909",
            "telephone_number": "706-367-5204",
            "fax_number": "706-367-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACKSON COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2007-01-31",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JACKSON CO BD OF HLTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jefferson, 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.