NPIMap

Organization Active NPI

Jackson County Health Department

  • State or Local Public Health Clinic/Center
  • Commerce, GA
National Provider Identifier
1972628089
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
JACKSON COUNTY HEALTH DEPARTMENT
Practice address
623 S Elm St
Commerce, GA 30529-3208
Phone
(706) 335-3895
Fax
(706) 335-6307
NPI assigned
Mar 20, 2007
Organization subpart
Yes
Parent organization
JACKSON COUNTY HEALTH DEPARTMENTAs 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

623 S Elm St
Commerce, GA 30529-3208

Mailing address

623 S Elm St
Commerce, GA 30529-3208
Phone (706) 335-3895

Other identifiers 1

IdentifierTypeStateIssuer
000051983LMedicaidGA

Other names 1

  • JACKSON CO HLTH DEPT DIST 10 Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050308000572 GA Part B Supplier - Mass Immunization (Roster Biller Only) 8325092893 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Commerce, GA; Jefferson, GA

National Provider Directory

National Provider Directory
Tax ID family
Jackson County Health Dept4 organizations share this tax ID, including this one
Part of
Jackson County Health Dept

Other organizations with this tax ID 3

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

Locations

623 S Elm St
Commerce, GA 30529
Phone (706) 335-3895

Ownership & related parties

Other NPIs on the same Medicare enrollment 1

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1972628089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 S ELM ST",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305293208",
            "telephone_number": "706-335-3895",
            "fax_number": "706-335-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 S ELM ST",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305293208",
            "telephone_number": "706-335-3895",
            "fax_number": "706-335-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACKSON COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2007-03-20",
        "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": "000051983L",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JACKSON CO HLTH DEPT DIST 10",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "JACKSON CO HLTH DEPT DIST 10",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Commerce, 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.