Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA

Public Use Microdata Area (PUMA)

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2023 Population

140,238

0.0806% 1-year growth

US Senator

Jon Ossoff

Democratic Party

US Senator

Raphael Warnock

Democratic Party

2023 Median Age

40.6

1.25% 1-year increase

2023 Poverty Rate

22.1%

1.55% 1-year decrease

2023 Median Household Income

$50,177

5.82% 1-year growth

2023 Median Property Value

$113,300

5.99% 1-year growth

2022 Employed Population

51,194

3.54% 1-year growth

About

In 2023, Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA had a population of 140k people with a median age of 40.6 and a median household income of $50,177. Between 2022 and 2023 the population of Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA grew from 140,125 to 140,238, a 0.0806% increase and its median household income grew from $47,416 to $50,177, a 5.82% increase.

The 5 largest ethnic groups in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA are White (Non-Hispanic) (60%), Black or African American (Non-Hispanic) (32.7%), Two+ (Non-Hispanic) (2.24%), Other (Hispanic) (1.87%), and White (Hispanic) (1.05%).

3.8% of the households in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA reported speaking a non-English language at home as their primary shared language. This does not consider the potential multi-lingual nature of households, but only the primary self-reported language spoken by all members of the household.

98.1% of the residents in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA are U.S. citizens.

The largest universities in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA are East Georgia State College (282 degrees awarded in 2022).

In 2023, the median property value in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA was $113,300, and the homeownership rate was 66%.

Most people in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA drove alone to work, and the average commute time was 26.9 minutes. The average car ownership in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA was 2 cars per household.

United States Georgia

Population & Diversity

Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA is home to a population of 140k people, from which 98.1% are citizens. As of 2023, 2.35% of Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA residents were born outside of the country (3.3k people).

In 2023, there were 1.84 times more White (Non-Hispanic) residents (84.1k people) in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA than any other race or ethnicity. There were 45.8k Black or African American (Non-Hispanic) and 3.14k Two+ (Non-Hispanic) residents, the second and third most common ethnic groups.

The most common non-English languages spoken as the primary langauge in households in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA are Spanish (4,002 households), Gujarati (262 households), and French (Incl. Cajun) (122 households).

Population & Diversity

Residents by Gender and Age

RACE/ETHNICITY

68,601

Women

48.9%

71,667

Men

51.1%

The resident population of United States in 2022 was 140,268 inhabitants, with 51.1% men, and 48.9% women.

The visualization shows the distribution of the residents by gender and age in the United States.

With the upper buttons you can add a filter by race.

Citizenship

98.1%

2023 Citizenship

98.2%

2022 Citizenship

As of 2023, 98.1% of Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA residents were US citizens, which is higher than the national average of 93.4%. In 2022, the percentage of US citizens in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA was 98.2%, meaning that the rate of citizenship has been decreasing.

The following chart shows US citizenship percentages in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA compared to that of it's neighboring and parent geographies.

Diversity

Race and Ethnicity

The 3 largest ethnic groups in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA

White (Non-Hispanic)
84.1k ± 410
Black or African American (Non-Hispanic)
45.8k ± 577
Two+ (Non-Hispanic)
3.14k ± 507

4.06%

Hispanic Population

5.69k people

4.06% of the people in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA are hispanic (5.69k people).

The following chart shows the 7 races represented in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA as a share of the total population.

Global Diversity

Most Common Origin

Mexico
1,496 ± 945 people
Venezuela
299 ± 424 people
China
168 ± 318 people

In 2022, the most common birthplace for the foreign-born residents of Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA was Mexico, the natal country of 1,496 Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA residents, followed by Venezuela with 299 and China with 168.

Foreign-Born Population

2.35%

2023 Foreign-Born Population

3.3k people

2.44%

2022 Foreign-Born Population

3.42k people

As of 2023, 2.35% of Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA residents (3.3k people) were born outside of the United States, which is lower than the national average of 13.8%. In 2022, the percentage of foreign-born citizens in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA was 2.44%, meaning that the rate has been decreasing.

The following chart shows the percentage of foreign-born residents in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA compared to that of it's neighboring and parent geographies.

Non-English Households

Most Common Non-English Languages

Spanish
4,002 households (3.02%)
Gujarati
262 households (0.198%)
French (Incl. Cajun)
122 households (0.0922%)

3.8% of the households in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA reported speaking a non-English language at home as their primary shared language, which is lower than the national average of 22%. This does not consider the potential multi-lingual nature of households, but only the primary self-reported language spoken by all members of the household.

In 2023, the most common non-English language spoken in households in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA was Spanish. 3.02% of the households in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA reported speaking Spanish at home as the primary shared language between all members living in the household.

Military

Veterans

Most Common Service Period

Vietnam
2,062 ± 259
Gulf War (2001-)
1,736 ± 322
Gulf War (1990s)
1,210 ± 284

Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA has a large population of military personnel who served in Vietnam, 1.19 times greater than any other conflict.

Economy

The economy of Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA employs 51.2k people. The largest industries in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA are Construction (4,179 people), Elementary & secondary schools (3,888 people), and Restaurants & Food Services (3,384 people), and the highest paying industries are Hardware stores ($198,633), Wired telecommunications carriers ($99,811), and Lawn & garden equipment & supplies stores ($93,329).

Males in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA have an average income that is 1.27 times higher than the average income of females, which is $42,367. The income inequality in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA (measured using the Gini index) is 0.41, which is lower than than the national average.

Employment

Workforce Diversity

Measure

RACE/ETHNICITY

23,281

Women

48%

25,232

Men

52%

The workforce of Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA in 2020 was 48,513 people, with 48% woman, and 52% men.

The visualization shows the distribution of the workforce by gender and age in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA.

With the upper buttons you can see the distribution of the average salary and add a filter by race.

Occupations

51.2k

2022 Value

3.54%

1 Year growth

± 3.54%

From 2021 to 2022, employment in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA grew at a rate of 3.54%, from 49.4k employees to 51.2k employees.

The most common job groups, by number of people living in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA, are Driver/sales workers & truck drivers (2,230 people), Elementary & middle school teachers (1,760 people), and Cashiers (1,514 people). This chart illustrates the share breakdown of the primary jobs held by residents of Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA.

Unemployment Insurance Claims

Data is only available at the state level. Showing data for false.

This chart shows weekly unemployment insurance claims in Georgia (not-seasonally adjusted) compared with the four states with the most similar impact.

The most recent data point uses Advance State Claims data, which can be revised in subsequent weeks.

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Industries

Employment by Industries

51.2k

2022 Value

3.54%

1 Year growth

± 3.54%

From 2021 to 2022, employment in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA grew at a rate of 3.54%, from 49.4k employees to 51.2k employees.

The most common employment sectors for those who live in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA, are Construction (4,179 people), Elementary & secondary schools (3,888 people), and Restaurants & Food Services (3,384 people). This chart shows the share breakdown of the primary industries for residents of Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA, though some of these residents may live in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA and work somewhere else. Census data is tagged to a residential address, not a work address.

Median Earnings by Industry

$42,321

Median earning men ± $1,892

$30,693

Median earning women ± $2,148

The industries with the best median earnings for men in 2023 are Public Administration ($62,490), Transportation & Warehousing, & Utilities ($48,750), and Educational Services, & Health Care & Social Assistance ($47,393).

The industries with the best median earnings for women in 2023 are Information ($46,699), Finance & Insurance, & Real Estate & Rental & Leasing ($42,857), and Public Administration ($41,887).

Employment by Industry Sector

Data is only available at the state level. Showing data for Georgia.

Y-Axis

2.94%

Year-over-year growth

Employment change between February 2022 and February 2023

As of February 2023, there are 4.87M people employed in Georgia. This represents a 2.94% increase in employment when compared to February 2022.

Right after the beginning of the COVID-19 pandemic, during April 2020, a general dip can be seen across industry sectors, resulting in an overall decline in employment by 11.9%.

The following chart shows monthly employment numbers for each industry sector in Georgia.

Civics

In the 2024 presidential election, the popular vote in Georgia went to Donald J. Trump with 50.7% of the vote. The runner-up was Kamala Harris (48.5%), followed by Chase Oliver (0.394%).

Jon Ossoff and Raphael Warnock are the senators currently representing the state of Georgia. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

Georgia is currently represented by 14 members in the U.S. house, and members of the House of Representives are elected to 2-year terms.

Presidential Elections

Presidential Popular Vote Over Time

Voting results are not available for Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA. Showing the available data for Georgia.

2024 Election Results

Donald J. Trump (50.7%)
Republican Party
Kamala Harris (48.5%)
Democratic Party
Chase Oliver (0.394%)
Libertarian Party

In the 2024 presidential election, the popular vote in Georgia went to Donald J. Trump with 50.7% of the vote. The runner-up was Kamala Harris (48.5%), followed by Chase Oliver (0.394%).

The following chart shows the popular vote results in Georgia for each registered party from 1976 to 2024.

Senator Elections

US Senators from Georgia

Senatorial voting results are only available at the state level. Showing data for Georgia.

Jon Ossoff

Senator from Georgia

Assumed office on January 20, 2021
Inauguration delayed as incumbent senator David Perdue's term expired on January 3, 2021, two days prior to the runoff election.

Raphael Warnock

Senator from Georgia

Assumed office on January 20, 2021
Elected to the seat to succeed Kelly Loeffler, who had been appointed to the seat following the resignation of Johnny Isakson.

Jon Ossoff and Raphael Warnock are the senators currently representing Georgia.

In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

The following chart shows elected senators in Georgia over time, excluding special elections, colored by their political party.

US Representative Elections

US Representatives from Georgia

Georgia is currently represented by 14 members in the U.S. house.

Members of the House of Representives are elected to 2-year terms, and the following chart shows the how the members for Georgia have changed over time starting in 2008.

Education

In 2022, universities in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA awarded 282 degrees. The student population of Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA in 2022 is skewed towards women, with 839 male students and 1,034 female students.

Most students graduating from Universities in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA are White (132 and 47%), followed by Black or African American (123 and 43.8%), Two or More Races (12 and 4.27%), and Hispanic or Latino (9 and 3.2%).

The largest universities in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA by number of degrees awarded are East Georgia State College (282 and 100%).

The most popular majors in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA are Liberal Arts & Sciences (110 and 39%), Early Childhood Program Administration (36 and 12.8%), and General Psychology (29 and 10.3%).

The median tuition cost in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA for a public four year colleges is $2,280 for in-state students and $8,632 for out-of-state students.

Admissions & Enrollments

Enrollments by Gender and Races

In 2022 there were 1,873 students enrolled in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA, 44.8% men and 55.2% women.

By race, the largest number of students enrolled was concentrated in White with 867 records, of which 56.7% were women and 43.3% men.

Completions

Concentrations

Most Common

Liberal Arts & Sciences
110 degrees awarded
Early Childhood Program Administration
36 degrees awarded
General Psychology
29 degrees awarded

In 2022, the most common concentation for Associates Degree recipients in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA was Liberal Arts & Sciences with 110 degrees awarded.

This visualization illustrates the percentage of students graduating with a Associates Degree from schools in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA according to their major.

Universities

Gender

Race

East Georgia State College

Largest Universities by degrees awarded

282 degrees awarded

In 2022, the institution with the largest number of graduating students was East Georgia State College with 282 degrees awarded.

Student Diversity

In 2022, 87 men were awarded degrees from institutions in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA, which is 0.446 times less than the 195 female students who received degrees in the same year.

In 2022 the most common race/ethnicity group awarded degrees at institutions was White students. These 132 degrees mean that there were 1.07 times more degrees awarded to White students then the next closest race/ethnicity group, Black or African American, with 123 degrees awarded.

Awarded Degrees over Time

The graph shows the evolution of awarded degrees by degrees. Under the paragraphs, the average number of awarded degrees by university in each degree is shown.

Tuition

Average Net Price by Sector

Public, 4-year or above ($2,280) is the sector with the highest median state tuition in 2022.

Public, 4-year or above ($456) is the sector with the highest median state fee in 2022.

Public, 4-year or above ($1,440) is the sector with the highest average net price of books and supplies.

The graph shows the average net price by sector and year.

Working Population

Educational Pyramid

Measure

In 2022, 0.843% of men over 25 years of age had not completed any academic degree (no schooling), while 1.11% of women were in the same situation.

This visualization shows the gender distribution of the population according to the academic level reached.

Educational Attainment

Race

The most common educational levels obtained by the working population of Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA in 2022 were High School or Equivalent (44.4k), Secondary Education (22.6k), and Some college (22.5k).

This visualization illustrates the percentage distribution of the population according to the highest educational level reached. You can filter the data by race by using the selector above.

Housing & Living

The median property value in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA was $113,300 in 2023, which is 0.373 times smaller than the national average of $303,400. Between 2022 and 2023 the median property value increased from $106,900 to $113,300, a 5.99% increase. The homeownership rate in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA is 66%, which is approximately the same as the national average of 65%.

People in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA have an average commute time of 26.9 minutes, and they drove alone to work. Car ownership in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA is approximately the same as the national average, with an average of 2 cars per household.

Median household income in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA is $50,177. In 2023, the PUMA with the highest Median Household Income in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA was Atlanta Regional Commission--Fulton County (Northeast)--Johns Creek & Alpharetta PUMA, GA with a value of $152,361, followed by Atlanta Regional Commision (Northeast)--Forsyth County (South)--Cumming City PUMA, GA and Atlanta Regional Commission (Northwest)--Cobb County (Northeast) PUMA, GA, with respective values of $142,287 and $141,956.

Housing

Property

$113,300

Median Property Value 2023

±$5,008

$32,734

Median Property Taxes

±$1,315

The following chart display owner-occupied housing units distributed between a series of property tax buckets compared to the national averages for each bucket. In Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA the largest share of households pay taxes in the < $800 range.

The chart underneath the paragraph shows the property taxes in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA compared to it's parent and neighbor geographies.

Rent vs Own

66%

Homeownership

2023

65.9%

Homeowners with Mortgage

2023

In 2023, 66% of the housing units in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA were occupied by their owner. This percentage grew from the previous year's rate of 65%.

This chart shows the percentage of owner in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA compared it's parent and neighboring geographies.

Equity

Income by Location

Use the dropdown to filter by race/ethnicity.

Race/Ethnicity

Highest Median Household Income (Total)

In 2023, the PUMA with the highest Median Household Income (Total) in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA was Atlanta Regional Commission--Fulton County (Northeast)--Johns Creek & Alpharetta PUMA, GA with a value of $152,361, followed by Atlanta Regional Commision (Northeast)--Forsyth County (South)--Cumming City PUMA, GA and Atlanta Regional Commission (Northwest)--Cobb County (Northeast) PUMA, GA, with respective values of $142,287 and $141,956.

The following map shows all of the PUMAs in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA colored by their Median Household Income (Total).

Household Income

Please note that the buckets used in this visualization were not evenly distributed by ACS when publishing the data.

$50,177

Median Household Income

± $1,939

49.6k

Number of Households

± 1,657

In 2023, the median household income of the 49.6k households in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA grew to $50,177 from the previous year's value of $47,416.

The following chart displays the households in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA distributed between a series of income buckets compared to the national averages for each bucket. The largest share of households have an income in the < $10k range.

Wage Distribution

0.41

2022 Wage GINI in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA

0.413

2021 Wage GINI in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA

In 2022, the income inequality in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA was 0.41 according to the GINI calculation of the wage distribution. Income inequality had a 0.715% decline from 2021 to 2022, which means that wage distribution grew somewhat more even. The GINI for Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA was lower than than the national average of 0.478. In other words, wages are distributed more evenly in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA in comparison to the national average.

This chart shows the number of workers in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA across various wage buckets compared to the national average.

Transportation

Commuter Transportation

Most Common Commute in 2023

Drove Alone (84.5%)
Carpooled (8.88%)
Worked At Home (4.22%)

In 2023, 84.5% of workers in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA drove alone to work, followed by those who carpooled to work (8.88%) and those who worked at home (4.22%).

The following chart shows the number of households using each mode of transportation over time, using a logarithmic scale on the y-axis to help better show variations in the smaller means of commuting.

Commute Time

26.9 minutes

Average Travel Time

Using averages, employees in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA have a longer commute time (26.9 minutes) than the normal US worker (26.6 minutes). Additionally, 3.97% of the workforce in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA have "super commutes" in excess of 90 minutes.

The chart below shows how the median household income in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA compares to that of it's neighboring and parent geographies.

Car Ownership

2 cars

Average Number

The following chart displays the households in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA distributed between a series of car ownership buckets compared to the national averages for each bucket. The largest share of households in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA have 2 cars.

Poverty

Poverty & Diversity

22.1% of the population for whom poverty status is determined in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA (29k out of 131k people) live below the poverty line, a number that is higher than the national average of 12.4%. The largest demographic living in poverty are Females 25 - 34, followed by Females 55 - 64 and then Females 35 - 44.

The most common racial or ethnic group living below the poverty line in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA is Black, followed by White and Hispanic.

The Census Bureau uses a set of money income thresholds that vary by family size and composition to determine who classifies as impoverished. If a family's total income is less than the family's threshold than that family and every individual in it is considered to be living in poverty.

Social Needs

Data only available at the state level.

Most prevalent states

California
35,798 individuals
New York
5,087 individuals
Florida
4,915 individuals

In 2017, California had the highest estimated number of chronically homeless individuals in the nation, at 35,798. New York has the second highest (5,087), followed by Florida (4,915).

The following map shows the estimated number of chronically homeless individuals by state over multiple years.

Health

85.9% of the population of Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA has health coverage, with 35.8% on employee plans, 21.6% on Medicaid, 14% on Medicare, 12.8% on non-group plans, and 1.71% on military or VA plans.

Primary care physicians in Georgia see 1491 patients per year on average, which represents a 0.067% decrease from the previous year (1492 patients). Compare this to dentists who see 1882 patients per year, and mental health providers who see 596 patients per year.

Coverage

Patient to Clinician Ratios

Data is only available at the state level. Showing data for Georgia.

1,491 to 1

Patient to Primary Care Physician Ratio in Georgia

Primary care physicians in Georgia see an average of 1,491 patients per year. This represents a 0.067% decrease from the previous year (1,492 patients).

The following chart shows how the number of patients seen by primary care physicians has been changing over time in Georgia in comparison to its neighboring geographies.

Health Care Diversity

In 2023, insured persons according to age ranges were distributed in 25.4% under 18 years, 19.1% between 18 and 34 years, 37.6% between 35 and 64 years, and 18% over 64 years.

By gender, of the total number of insured persons, 47.5% were men and 52.5% were women.

The following chart shows the number of people with health coverage by gender.

Uninsured People

14.1%

Uninsured

35.8%

Employer Coverage

21.6%

Medicaid

14%

Medicare

12.8%

Non-Group

1.71%

Military or VA

Between 2022 and 2023, the percent of uninsured citizens in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA declined by 2.54% from 14.5% to 14.1%.

The following chart shows how the percent of uninsured individuals in Heart of Georgia Altamaha Regional Commission (North & West) PUMA, GA changed over time compared with the percent of individuals enrolled in various types of health insurance.