BOARD OF HEALTH WALTON COUNTY
NPI 1649152497
Clinic/Center - Public Health, State or Local in Loganville, GA

Active since July 23, 2025
4385 PECAN ST, LOGANVILLE, GA 30052(770) 466-1789(770) 466-1321 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Board Of Health Walton County NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOARD OF HEALTH WALTON COUNTY (NPI 1649152497), doing business as Walton County Health Department Loganville, is a healthcare organization registered as a public health, state or local in Loganville, Georgia and active in the NPI registry since July 2025. The organization lists Donald S Goggans, Health Director, as its authorized official.

NPPES Registry Identity

NPI1649152497
Entity TypeOrganization
Primary Taxonomy261QP0905X
Legal Business NameBOARD OF HEALTH WALTON COUNTY
Location Address4385 PECAN STLoganville, GA 30052-2637
Mailing Address1404 S Madison AveMonroe, GA 30655-2816 · (770) 207-4125 · Fax (770) 207-4129
Fax(770) 466-1321
Organization SubpartYes
Authorized OfficialDonald S GoggansHealth Director · (706) 583-2870
Enumeration DateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1649152497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Public Health, State or LocalAmbulatory Health Care Facilities
Taxonomy Code261QP0905X
4385 PECAN ST, Loganville, GA 30052

Other Names 1

Doing Business AsWalton County Health Department Loganville

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Board Of Health Walton County is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Board Of Health Walton County, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1871901090
15 PORTER ST EAST
Winder, GA 30680
(770) 307-3011
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1518347194
700 SUNSET DR STE 501
Athens, GA 30606
(706) 425-2935
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1619521614
700 SUNSET DR STE 501
Athens, GA 30606
(706) 425-2935
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1891103206
2005 S MAIN ST STE 200
Madison, GA 30650
(706) 752-1266
✔ PECOS30 mi
Nurse Practitioner
NPI 1922417583
345 N HARRIS ST
Athens, GA 30601
(706) 389-6921
✔ PECOS31 mi
Nurse Practitioner
NPI 1275941429
345 N HARRIS ST
Athens, GA 30601
(706) 552-4594
✔ PECOS31 mi
Nurse Practitioner
NPI 1952168221
345 N HARRIS ST
Athens, GA 30601
(706) 389-6921
✔ PECOS31 mi
Nurse Practitioner
NPI 1447948070
345 N HARRIS ST
Athens, GA 30601
(706) 389-6921
✔ PECOS31 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Board Of Health Walton County's NPI number?

The NPI number for Board Of Health Walton County is 1649152497. It was assigned to this organization in the NPPES registry on July 23, 2025. The provider is doing business as Walton County Health Department Loganville.

Where is Board Of Health Walton County located?

Board Of Health Walton County is located at 4385 Pecan St, Loganville, GA 30052. The listed phone number is (770) 466-1789.

What is Board Of Health Walton County's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, State or Local, with taxonomy code 261QP0905X.

Is Board Of Health Walton County enrolled in Medicare?

Yes. Board Of Health Walton County is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Board Of Health Walton County?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Board Of Health Walton County. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Board Of Health Walton County was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.