Active NPI
Clarke County Department of Health
- State or Local Public Health Clinic/Center
- Athens, GA
National Provider Identifier
1831223015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- 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 HEALTH
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
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- State or Local Public Health Clinic/Center
- Athens, GA
- NPI 1689710923
O20120227000408
-
- State or Local Public Health Clinic/Center
- Athens, GA
- NPI 1831256783
O20040528000031, O20120227000408
-
- State or Local Public Health Clinic/Center
- Athens, GA
- NPI 1861925323
O20040528000031
-
- State or Local Public Health Clinic/Center
- Athens, GA
- NPI 1871476275
O20040528000031
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
- Clarke County Department of Health
- Clarke County Department of Health
- Clarke County Department of Health
- Clarke County Department of Health
- Clarke County Department of Health
- Clarke County Department of Health
- Clarke County Department of Health
- Clarke County Department of Health
- Clarke County Department of Health
- Clarke County Endoscopy Center LLC
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.