JACKSON COUNTY HEALTH DEPARTMENT NPI 1871799205

NPI Information

NPI: 1871799205
Provider Name: JACKSON COUNTY HEALTH DEPARTMENT
Classification: Clinic/Center - 261QP0905X
Specialization: Public Health, State or Local
Entity Type: Organization
:
Address: 341 STAN EVANS DR
JEFFERSON, GA
ZIP 30549
Phone: (706) 367-5204

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NPI Details

JACKSON COUNTY HEALTH DEPARTMENT is a public health and state or local clinic center in Jefferson, GA. JACKSON COUNTY HEALTH DEPARTMENT NPI is 1871799205. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

341 STAN EVANS DR
JEFFERSON, GA
ZIP 30549-909
Phone: (706) 367-5204
Fax: (706) 367-9023

The provider's authorized official is Donald S Goggans .
The authorized official title is Health Director and has the following contact phone number (706) 583-2870.

The enumeration date for this NPI number is 6/22/2007 and was last updated on 7/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP0905X	Clinic/Center	Public Health, State or Local			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000051983F	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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