Healthcare Provider Details

I. General information

NPI: 1508771775
Provider Name (Legal Business Name): CLARKE COUNTY DEPARTMENT OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 SUNSET DR STE 501
ATHENS GA
30606-2288
US

IV. Provider business mailing address

220 RESEARCH DR ATTN: BILLING DEPT
ATHENS GA
30605-2738
US

V. Phone/Fax

Practice location:
  • Phone: 706-425-2935
  • Fax: 706-425-3936
Mailing address:
  • Phone: 706-583-2856
  • Fax: 706-369-5732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KIM MCGINNIS
Title or Position: BILLING OPERATIONS MANAGER
Credential: CPC
Phone: 706-583-2856