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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

Kathy McGaha, MHS, Director

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.

Helpful Links

Meet our Board and read minutes from Board of Health Meetings

Macon County Health Department Administration

Medical Providers Link


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 environment, 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.

macon county nc health department

Click here to access the 2021 Macon County Community Health Assessment

Click here for information about COVID-19

Click here for information about the Flu Shots and Clinics

The team at Macon County Public Health is now accepting new patients for our Primary Care office. Our staff is able to provide regular visits with a provider who can care for your health needs

The Macon County Public Health Center provides outreach clinics in the communities of Highlands and Nantahala. Services at these clinics are by appointment only and include influenza & WIC.

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 most 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.

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 - 18. Appointments are required and patients must complete new patient 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.

Breast Feeding Peer Counselor 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.

The School-Based Health Center also provides behavioral health services to students at South Macon Elementary school and their families.


Case Management of High Risk Children (CMARC)

CMARC is a program for children with Medicaid or who are uninsured. A social worker works with families on a voluntary basis or on a referral basis, with a goal of improving child health outcomes.

CMARC care managers provide:

  • Assistance with scheduleing appointment, communicating with physicians, tracking well child care visits, and immunizations
  • identifies and coordinates services and resources to help meet the family's specific needs such as housing, medical care, transportation, child care financial aid and couseling/support programs.
  • Educates parents about programs such as nutrution, well child care, genetic service, and other resources
  • Provides ongoing support and tools for stregthenin families
  • Coordinates with medial home to assist with coordication of care settings
  • Helps parents navigate Medicaid
  • Offers incetives for participation

Children birth to age five who are at risk or have developmental delay/disability, long term illness, social/emotional disorders, and food insecurities.

Parents can call for more information or be referred by their physican, hospital, social worker, family members, daycares, or state/county agencies. For more information call 828-349-2427

Case Management of High Risk Pregnancies (CMHRP)

CMHRP services are available to pregnant women enrolled in North Carolina Medicaid and to a limited number of low income, uninsured women. Care managers work with the pregnant women and their prenatal care providers to ensure the best possible care during pregnancy and after delivery. Care management focuses on nutrition, support, referrals as needed to ensure a safe, healthy pregnancy for the mother and the baby.

There is no cost for this program and participation is voluntary.
Benefits of participation for pregnant women are as follows:

  • Social Worker reviews care providers plan for a health pregnancy
  • Coordinating care across all of involved providers
  • Help obtain resources you may need: medical care, trasportation, food, stable housing
  • Referrals to other programs such as Woman, Infants, and Children (WIC) nutrition program
For more information, or to seek enrollment call 828-349-2427

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) 349-2480.

Health educators work with community partners to provide health related programs and materials to the community. We sponsor local events and connect those in need of services to providers. For more information, or to schedule a health program, please call Macon County Public Health at 828-349-2081

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.

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.

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.

    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.
    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.

Macon County Public Health provides voluntary and confidential Family Planning to males and females of child bearing age.

Please bring to your appointment the following:

  • Proof of identity
  • Proof of income (determined by gross income prior to tax deductions)
Title X funding provides, in part, services and materials for the Family Planning clinic. Fees are based on a sliding fee scale, based off of family size and income. No one is denied services because of inability to pay. All forms of Medicaid are accepted, and some private insurances.

Services offered to clients include:
  1. Contraceptive and birth control options including abstinence, condoms, Dep injections, Long acting reversible contraception, oral birth control pills, Nuva-rings, and Plan B with counseling.
  2. Diagnosis and treatment of common female/male secual health issues and STDs
  3. Preconceptual counseling
  4. Pregnancy counseling
  5. Pregnancy testing
  6. Referrals for infertility services, prenatal care, tubal ligations and vasectomies, etc.
  7. Immunizations
  8. Multivitamins with folic acid
  9. Natural family planning counseling and referral
  10. Various community services and resources

Appointments are required, call 828-349-2081.

Clinical breast exams, mammograms, pelvic exams, and pap smears are provided for women ages 40 - 64 who meet program guidelines. Call the health center to determine eligibility or to schedule an appointment.

MCPH’s Maternal Health Program provides a broad range of health care services to pregnant women, such as:

  • Complete pre-natal and post-natal care by an OBGYN physician
  • Nutritional counseling available with a Registered Dietician (RD)
  • Interpreter (as needed)
  • Licensed Professional Counselor (as needed)
  • 17P provided (as indicated)
  • Pregnancy education
  • Laboratory testing
  • Non-Stress Tests
  • Free Prenatal Vitamins and Iron Supplement
Most pregnancies are followed in the health department maternity clinic through time of delivery. Delivery is planned at the hospital of your choice. Pregnancies determined to be "High Risk" are immediately referred to an appropriate medical provider.

Macon County Public Health offers a discounted fee for some women based on their family size and income. No one will be denied services based on inability to pay. Medicaid and insurances are accepted. Please call 828-349-2081 for more information.

The Child Health Program provides an opportunity for increasing the health status of children
(birth to 21).
Child Health visits include the following:

  • Physical exams including hearing, vision, and developmental screenings
  • Lab services
  • Nutritional assessment
  • Immunications
  • Referrals for further diasnosis or treatment as needed
Established clients are eligible for school pysicals.

Important Things to Know Before You Arrive
  • Any questionnaires that may have been mailed to you before your visit, must be completed in advance by the parent, legal guardian, or client and turned in at the time of the Child Health Appointment.
  • Please arrive 30 minutes before appointment time so that our staff can review paperwork, and provide any needed testing or immunizations prior to the examination.
  • Child Health sppointments can be lenghty, so please be prepared to wait.

Please call 828-349-2081 to make an appointment

To protect the health and safety of our residents, to protect animals and promote their humane treatment, promote pet adoptions of healthy, nonaggressive animals by the general public, and promote responsible pet ownership.

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

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