Organization Active NPI

Clarke County Department of Health

  • State or Local Public Health Clinic/Center
  • Athens, GA
National Provider Identifier
1831223015
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
CLARKE COUNTY DEPARTMENT OF HEALTH
Practice address
410 McKinley Dr
Athens, GA 30601-3270
Phone
(706) 369-5816
Fax
(706) 369-6219
NPI assigned
Mar 16, 2007
Organization subpart
Yes
Parent organization
CLARKE COUNTY DEPARTMENT OF HEALTHAs 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

410 McKinley Dr
Athens, GA 30601-3270

Mailing address

410 McKinley Dr
Athens, GA 30601-3270
Phone (706) 369-5816

Other names 1

  • East Athens Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040528000031 GA Part B Supplier - Clinic/Group Practice 2769463488 Receives reassigned benefits from 12 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Athens, GA
O20120227000408 GA Part B Supplier - Mass Immunization (Roster Biller Only) 2769463488 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Athens, GA

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Part of
Clarke Co Dept of Health

Locations

410 McKinley Dr
Athens, GA 30601
Phone (706) 227-4409

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1831223015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MCKINLEY DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306013270",
            "telephone_number": "706-369-5816",
            "fax_number": "706-369-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MCKINLEY DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306013270",
            "telephone_number": "706-369-5816",
            "fax_number": "706-369-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKE COUNTY DEPARTMENT OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLARKE COUNTY DEPARTMENT OF HEALTH",
        "enumeration_date": "2007-03-16",
        "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": "East Athens Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "East Athens Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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.
  • 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.