NPIMap

Organization Active NPI

Clarke County Department of Health

Doing business as Specialty Care Cllinic

  • State or Local Public Health Clinic/Center
  • Athens, GA
National Provider Identifier
1831256783
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
Doing business as
Specialty Care Cllinic
Practice address
700 Sunset Dr Ste 501
Athens, GA 30606-2288
Phone
(706) 425-2935
Fax
(706) 425-2936
NPI assigned
Jan 2, 2007
Last updated
Jul 23, 2025By the provider in NPPES
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, 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

700 Sunset Dr Ste 501
Athens, GA 30606-2288

Mailing address

700 Sunset Dr Ste 501
Athens, GA 30606-2288
Phone (706) 425-2935

Other identifiers 2

IdentifierTypeStateIssuer
000456574NMedicaidGA
000456574MMedicaidGA

Other names 1

  • Specialty Care Cllinic Doing business as

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
Tax ID family
Clarke County Health de8 organizations share this tax ID, including this one
Part of
Clarke County Health de

Other organizations with this tax ID 7

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

Locations

345 N Harris St
Ste 100
Athens, GA 30601
Phone (706) 425-2935

345 N Harris St
Athens, GA 30601
Phone (706) 389-6921

135 Athens West Pkwy
Ste B
Athens, GA 30606
Phone (706) 425-3003

Practitioners & affiliated clinicians

Practitioners 9

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1831256783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SUNSET DR STE 501",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062288",
            "telephone_number": "706-425-2935",
            "fax_number": "706-425-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SUNSET DR STE 501",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062288",
            "telephone_number": "706-425-2935",
            "fax_number": "706-425-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKE COUNTY DEPARTMENT OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLARKE COUNTY DEPARTMENT OF HEALTH",
        "enumeration_date": "2007-01-02",
        "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": "000456574N",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000456574M",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Care Cllinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Specialty Care Cllinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.