macon county nc north carolina courthouse government
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 works with families on a voluntary basis with a goal of improving children's health outcomes.

CMARC care managers can help with resources for:

  • finding medical care
  • transportation
  • childcare
  • financial aid
  • food insecurity
Services may be provided in the client's home, physician’s office, at Health Department, or anywhere a parent feels comfortable. They can also provide you with information about a wide variety of family oriented resources.

They will:
  • discuss family strengths and concerns through home visits, telephone calls, and other personal contacts
  • assess your child's developmental milestones
  • identify programs, services, and resources that meet your family's needs
  • serve as a link between you and your child's doctor or nurse
  • identify ways you can strengthen parent-child relationships
  • introduce you to parent support programs when available
  • offer encouragement and support

Children birth to age five who are at risk or have developmental delay/disability, long term illness, social/emotional disorders, and food insecurity. If you are interested in more information about the Care Coordination for Children program, please call 828-349-2427.

Case Management of High Risk Pregnancies (CMHRP)

CMHRP services are available to pregnant women enrolled in North Carolina Medicaid statewide who are at-risk for premature delivery.

Care managers work with you and your prenatal care provider to ensure the best possible care while you are pregnant and after you deliver.
Benefits of participation are as follows:

  • Reviewing your care provider's plan for a healthy pregnancy with you
  • Coordinating your care across all of your 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
Call 828-349-2081 and ask to speak to a Pregnancy Care Manager

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.


    Appointments are available for men and women of child bearing age for services that include:
  • Physical exam
  • Patient history
  • Pap smear (as indicated)
  • Breast exams
  • Lab tests (STD included if indicated)
  • Birth control method education
  • Birth control instructions on usage
  • Fertility counseling
  • Emergency counseling
  • Information on sterilization and vasectomies
Fees are based on family size and income. Medicaid and insurance also accepted. MCPH’s Family Planning Program offers a wide variety of birth control medications, condoms, Nexplanon, Depo-Provera, and intrauterine devices (IUDs).

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.

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.

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.

       Mobile Menus  

© 2010 Macon County, North Carolina
5 West Main Street • Franklin, NC 28734
Phone: 828-349-2000

web design tony angel media