MEDICARE: OCONEE COUNTY HEALTH DEPARTMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP0905X	State or Local Public Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861539835
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCONEE COUNTY HEALTH DEPARTMENT

Provider Business Mailing Address
First Line	:	PO BOX 222
Second Line	:
City	:	WATKINSVILLE
State	:	GA
Zip	:	30677-0006
Country	:	US
Telephone Number	:	706-769-3983
Fax Number	:	706-769-3913

Provider Business Practice Location Address
First Line	:	1060 EXPERIMENT STATION RD
Second Line	:
City	:	WATKINSVILLE
State	:	GA
Zip	:	30677-5323
Country	:	US
Telephone Number	:	706-769-3983
Fax Number	:	706-769-3913

Authorized Official
Title or Position	:	HEALTH DIRECTOR
Name	:	DONALD S GOGGANS
Credential	:	MD
Telephone Number	:	706-583-2870

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	07/23/2025

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Directions to “OCONEE COUNTY HEALTH DEPARTMENT ” Practice Location

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