| Board Of Health Walton County | |
|
1404 S Madison Ave Monroe GA 30655-2816 | |
| (770) 207-4125 | |
| (770) 207-4129 |
| Full Name | Board Of Health Walton County |
|---|---|
| Speciality | Clinic/Center |
| Location | 1404 S Madison Ave, Monroe, 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 |
|---|---|
| Board Of Health Walton County 1404 S Madison Ave Monroe GA 30655-2816 Ph: (770) 207-4125 | Board Of Health Walton County 1404 S Madison Ave Monroe GA 30655-2816 Ph: (770) 207-4125 |
| NPI Number | 1811420375 |
|---|---|
| Provider Enumeration Date | 04/11/2017 |
| Last Update Date | 07/23/2025 |
| Medicare PECOS PAC ID | 0648439836 |
|---|---|
| Medicare Enrollment ID | O20160225001274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811420375 | 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 | Leah Malcom Ainslie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891103206 PECOS PAC ID: 8325368574 Enrollment ID: I20150529000591 |
| 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 | Tiffany Michele Segars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851105332 PECOS PAC ID: 0941720213 Enrollment ID: I20250218001393 |
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