| Jackson County Health Department | |
|
341 Stan Evans Dr Jefferson GA 30549-2909 | |
| (706) 367-5204 | |
| (706) 367-9023 |
| Full Name | Jackson County Health Department |
|---|---|
| Speciality | Clinic/Center |
| Location | 341 Stan Evans Dr, Jefferson, Georgia |
| Authorized Official Name and Position | Donald S Goggans (HEALTH DIRECTOR) |
| Authorized Official Contact | 7065832870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson County Health Department 341 Stan Evans Dr Jefferson GA 30549-2909 Ph: (706) 367-5204 | Jackson County Health Department 341 Stan Evans Dr Jefferson GA 30549-2909 Ph: (706) 367-5204 |
| NPI Number | 1942733407 |
|---|---|
| Provider Enumeration Date | 04/11/2017 |
| Last Update Date | 11/21/2023 |
| Medicare PECOS PAC ID | 8325092893 |
|---|---|
| Medicare Enrollment ID | O20160208001336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942733407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (Georgia) | Primary |
| Provider Name | Sharon L Lacount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568473163 PECOS PAC ID: 8022012574 Enrollment ID: I20060914000265 |
| Provider Name | Sallie Elane Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275941429 PECOS PAC ID: 4981925625 Enrollment ID: I20150605001031 |
| Provider Name | Carol Lumpkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871901090 PECOS PAC ID: 2668793373 Enrollment ID: I20150606000120 |
| Provider Name | Gloria D'laine Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922417583 PECOS PAC ID: 2668793233 Enrollment ID: I20150608001730 |
| Provider Name | Ashleigh Danielle Grizzle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619521614 PECOS PAC ID: 8921338609 Enrollment ID: I20190923002546 |
| Provider Name | Hemakshi Chohan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912505280 PECOS PAC ID: 3274923388 Enrollment ID: I20211203002283 |
| Provider Name | Jessica M Etienne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447948070 PECOS PAC ID: 6406213677 Enrollment ID: I20230602000088 |
Bartley R. Richards, Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1654 Washington St, Jefferson, GA 30549 Phone: 706-367-5006 Fax: 706-367-7711 | |
Jefferson Pediatrics, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2610 Highway 129 N, Jefferson, GA 30549 Phone: 706-367-1010 | |
Health Connection Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 657 Athens St, Jefferson, GA 30549 Phone: 706-367-7302 Fax: 706-367-7304 | |
Saddle Up Therapy, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 167 Country Rd, Jefferson, GA 30549 Phone: 470-222-6428 | |
Jefferson Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1689 Old Pendergrass Road Suite 340, Jefferson, GA 30549 Phone: 706-708-2344 Fax: 706-708-2342 | |
Jackson County Board Of Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 341 Stan Evans Dr, Jefferson, GA 30549 Phone: 706-367-5204 Fax: 706-367-9023 | |
Medlink Georgia Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2748 Winder Hwy, Jefferson, GA 30549 Phone: 706-367-4455 |