NORTHEAST HEALTH DISTRICT – NPI #1174668255
Clinic/Center

NORTHEAST HEALTH DISTRICT is an AHC clinic located in ATHENS, GA. NPPES has assigned the NPI number 1174668255 to NORTHEAST HEALTH DISTRICT on February 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP0905X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Public Health, State or Local

The NPI profile was last updated on Jul 23, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHEAST HEALTH DISTRICT below.

NPI Profile for
NORTHEAST HEALTH DISTRICT

NPI Number
1174668255
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHEAST HEALTH DISTRICT
Primary location
740 PRINCE AVE BLDG 15
ATHENS, GA 30606
Phone: (706) 389-6923 Fax: (706) 552-4536
Mailing address
740 PRINCE AVE STE 15
ATHENS, GA 30606-5903
Phone: (706) 389-6923 Fax: (706) 552-4536
Organization Subpart
Yes - NORTHEAST HEALTH DISTRICT is subpart of another organization.
Authorized Official
DONALD GOGGANS
HEALTH DIRECTOR
Phone: (706) 583-2870
Updated
Certification Date
Jul 23, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for NORTHEAST HEALTH DISTRICT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidGA000957778A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP0905X
- Clinic/Center / Public Health, State or Local (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.