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macon county nc health department franklin highlands nantahala north carolina


Macon County Public Health Center
1830 Lakeside Drive
Franklin, NC 28734

Phone: (828) 349-2081
Franklin or Highlands

Fax: (828) 524-6154

Jim Bruckner, MSHS, Director

Medical Providers Link

North Carolina Law (NC General Statute Article 2, Section 130A-34) requires Boards of Health to consist of eleven members; eight designated professionals and three members of the general public.

The Board of Health is appointed by the County Commissioners.

Click here to meet our Board and read minutes from Board of Health Meetings


macon county nc health departmentMacon County Public Health
(828) 349-2081

OUR VISION: To be the model for best practices in Public Health.
OUR MISSION: To promote, protect, and enhance the health of all people and the environment.

The Macon County Health Department serves many facets of our community. From the well being of children and adults to the enviroment, our many services are broad-based. You'll find a listing of our sections below as well as the county-wide services we provide. Click on any highlighted title to learn more.

The Macon County Public Health Center provides outreach clinics in the communities of Highlands and Nantahala. All services at these clinics are by appointment only and include immunizations, WIC, family planning, BCCCP, and some laboratory tests.

The laboratory offers independent clinical and environmental health services for the general public and our clinic patients. Most of these laboratory services require an order from a private physician. The laboratory may file Medicare, Medicaid, and some insurance companies. Charges vary depending on services performed and income.

A community preparedness coordinator works to ensure a state of readiness for any public health crisis which may arise. This includes staff training, development of disaster plans, organizing disaster drills, and procuring emergency supplies and equipment. The coordinator also facilitates the Macon County Disaster Preparedness Team and acts as a liaison to the Public Health Regional Surveillance Team.

Dental care is available for Macon County residents of all ages. The "Molar Roller" is a mobile dental clinic that rotates between school facilities and the MPP New Horizons center. The "Molar Roller" provides preventive and restorative services for residents ages 2 - 20. A separate adult dental clinic provides limited dental services for adults. Appointments are required and patients must complete application packets before their appointments.

WIC is a supplemental food and nutrition program for pregnant and post-partum women, infants, and children under age five. WIC provides basic nutrition education as well as specific foods and supplemental infant formula for qualified participants. Eligibility is based on income and medical or nutritional need. Appointments are required.

  • Breastfeeding Education – Breastfeeding mothers may rent breast pumps and receive assistance in breastfeeding successfully.

School health services are provided to all public schools and include care for acute illness, case management, development of care plans, medication and immunization reviews, support for communicable disease control, and promotion of staff wellness. All school nurses are RNs holding a BSN and National Certification in School Nursing.


Care Coordination for Children (CC4C) - This program provides families with children ages 5 and under with services and resources to meet the family’s needs through home visits, doctor visits, telephone calls, and personal contacts. Participants must qualify with a care manager before receiving services.

Pregnancy Care Management - This service provides comprehensive, evidence-based, coordinated maternity care with a goal of improving birth outcomes. This service is available for Medicaid eligible women who are at risk for poor birth outcomes.

Smart Start – This state program provides training and consultation to childcare providers in the areas of policy development, resource referral, and care planning for children with special needs. It also provides educational programs for children through age five.

MountainWise of Macon County
MountainWise of Macon County is a public-private healthcare partnership, comprised of over 100 members and 50 organizations. MWMC’s mission is assess and develop health resources for Macon County. MWMC develops interventions to address priority health issues based on Macon County’s Community Health Assessment which is conducted every four years. If you are interested in participating in partnership activities, please call (828) 349-2437.

Health education materials, including videos and brochures, are available at no charge. In addition, health educators provide services for clients, schools, and community groups focusing on the areas of nutrition, physical activity, tobacco, and healthy lifestyle choices.

  • CPR Training – American Red Cross CPR is offered throughout the year. Call for a schedule, to register, or for fee information.
  • Work Site Health Promotion Services - The Lifestyle Improvements for Employees program, (LIFE), offers health promotion programs to local employers. Services are provided at the work site and include health screenings, computerized health risk appraisals, health and safety classes, self-help education materials, health resource guides, newsletters, and policy development consultation.

This section assures compliance with state and local laws to protect public and environmental health. Services include permitting and inspection of septic systems, private wells, swimming pools, hospitals, daycares, schools, food and lodging establishments, tattoo parlors, and nursing homes. This section also works with animal control during bite investigations. Sponsored events include rabies clinics, food handling sanitation seminars, and training for childcare providers. Fees are due at the time of application for permits and water testing.

Immunizations are provided by appointment. Required childhood vaccinations are free of charge. Most adult immunizations will incur a fee.

International travel immunizations, prescriptions, and health advice are available by appointment and fees apply to these services. Macon County Public Health is the only authorized yellow fever vaccination site west of Asheville.

Tuberculosis screening tests are provided by appointment. The tests are free for people at risk of tuberculosis. Tuberculosis medications and other services are provided at no charge for all clients with known tuberculosis infection or active disease.

Macon County Public Health investigates contagious disease outbreaks, coordinates control efforts, and provides public information. Call the health center to report suspected outbreaks of contagious diseases.

Services include diagnosis, treatment, education, counseling, and follow-up. All services are kept strictly confidential. No fee is charged. An appointment is required.

The AIDS blood test (HIV antibody test) is available by appointment. Counseling, referral, and case management services are available for persons with HIV. Services are confidential and no fee is required.

The MCPH Family Planning Program’s mission is to reduce unintended pregnancies and improve selected health practices among low income families. The Family Planning Program supports a wide range of preventive care that is critical to men's and women's reproductive and sexual health. They help reduce infant mortality and morbidity by decreasing the number of unplanned pregnancies and the poor health outcomes associated with them. Services include annual exams, birth control supplies and pregnancy tests. Counseling on male and female sterilization is also available. Appointments are required and all services are confidential.


This clinic offers medical care for pregnant women who live in Macon County by a health care team that includes a physician and specially trained nurses. Prenatal education, laboratory work, counseling, and other testing is also provided.

Child Health Clinics are held several times each month for income eligible children up to age 21. Physical exams, medical services, health and nutrition counseling are provided. Appointments are required. Charges are based on income.


Macon County Public Health can help adults and children take control of their health by providing tools to inprove their diet. Assistance is available to help clients lose weight, control diabetes, lower blood pressure, improve cholesterol, manage food allergies and much more. Fees (for those without insurance) are based on a sliding scale. * Click the heading to access the necessary referral forms.

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5 West Main Street • Franklin, NC 28734
Phone: 828-349-2000

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