NPIMap

Organization Active NPI

Board of Health Walton County

  • State or Local Public Health Clinic/Center
  • Loganville, GA
National Provider Identifier
1942324181
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
BOARD OF HEALTH WALTON COUNTY
Practice address
4385 Pecan St
Loganville, GA 30052-2637
Phone
(770) 466-1789
Fax
(770) 466-1321
NPI assigned
Mar 16, 2007
Last updated
Jul 23, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BOARD OF HEALTH WALTON COUNTYAs 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

4385 Pecan St
Loganville, GA 30052-2637

Mailing address

4385 Pecan St
Loganville, GA 30052-2637
Phone (770) 466-1789

Other names 1

  • Loganville Health Department Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120307000498 GA Part B Supplier - Mass Immunization (Roster Biller Only) 0648439836 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Monroe, GA; Loganville, GA

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
Tax ID family
Board of HLTH Walton Cnty3 organizations share this tax ID, including this one
Part of
Board of HLTH Walton Cnty

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 5

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": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1942324181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4385 PECAN ST",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522637",
            "telephone_number": "770-466-1789",
            "fax_number": "770-466-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4385 PECAN ST",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522637",
            "telephone_number": "770-466-1789",
            "fax_number": "770-466-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF HEALTH WALTON COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOARD OF HEALTH WALTON COUNTY",
        "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": "Loganville Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Loganville, 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.