NPIMap

Individual provider Active NPI

Donald S. Goggans, MD

  • Public Health & General Preventive Medicine Physician
  • Athens, GA
National Provider Identifier
1952411399
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
49570 Issued in GA
Practice address
220 Research Dr
Athens, GA 30605-2738
Phone
(706) 583-2870
Fax
(706) 369-5877
NPI assigned
Aug 30, 2006
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 49570 GA Primary

Addresses

Primary practice location

220 Research Dr
Athens, GA 30605-2738

Mailing address

220 Research Dr
Athens, GA 30605-2738
Phone (706) 583-2870

Other identifiers 2

IdentifierTypeStateIssuer
000931631AMedicaidGA
G49570MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151124000032 GA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3971668906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49570GAMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greene County Health Department Past Accepting new patients
Morgan County Health Department Past Accepting new patients
Jefferson County Board of Health PastSince Oct 1, 2019 Accepting new patients
Elbert County Health Department PastSince Nov 1, 2019 Accepting new patients
Columbia County Board of Health PastSince Jan 1, 2013 Accepting new patients

Organizations & group practices 43

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1952411399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 RESEARCH DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306052738",
            "telephone_number": "706-583-2870",
            "fax_number": "706-369-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 RESEARCH DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306052738",
            "telephone_number": "706-583-2870",
            "fax_number": "706-369-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGGANS",
        "first_name": "DONALD",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "GA",
            "license": "49570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000931631A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G49570",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.