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ST. MARY'S ALLERGY SPECIALISTS
NPI 1053935411
Allergy & Immunology in Watkinsville, GA

Active since June 02, 2020
1360 CADUCEUS WAY BLDG 200-102, WATKINSVILLE, GA 30677(706) 389-3810(706) 389-3811 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 1, 2022, Mar 12, 2021, Jun 2, 2020 (3 updates tracked since 2020).

About St. Mary's Allergy Specialists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. MARY'S ALLERGY SPECIALISTS (NPI 1053935411) is a healthcare organization registered as an allergy & immunology in Watkinsville, Georgia and active in the NPI registry since June 2020. The organization lists Brittainy Horne, President, as its authorized official.

NPPES Registry Identity

NPI1053935411
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NameST. MARY'S MEDICAL GROUP, INC.
Location Address1360 CADUCEUS WAY BLDG 200-102Watkinsville, GA 30677-7349
Mailing AddressPo Box 48089Athens, GA 30604-8089 · (706) 389-3740 · Fax (706) 389-3951
Phone(706) 389-3810
Fax(706) 389-3811
Organization SubpartNo
Authorized OfficialBrittainy HornePresident · (706) 389-3940
Enumeration DateJune 2, 2020
Last NPPES UpdateNovember 1, 20223 updates tracked since enumeration
NPPES CertifiedNovember 1, 2022
✔ NPI 1053935411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
1360 CADUCEUS WAY BLDG 200-102, Watkinsville, GA 30677
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Other Names 1

Other NameSt. Mary's Allergy Specialists

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St. Mary's Allergy Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

113

Medicare enrollment records show 113 clinicians reassign Medicare billing to St. Mary's Allergy Specialists, which bills Medicare for the services they deliver. Of these, 103 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 20

Nurse Practitioner28
Internal Medicine26
Family Practice11
Cardiovascular Disease (Cardiology)7
Neurology7
General Surgery6
Neurosurgery5
Pathology4
12 other specialties19

Nearest to this location (20)

See all 113
Padmanaidu Karnam, MD
Rheumatology
NPI 1669744769
1181 LANGFORD DR BLDG 200-103
Watkinsville, GA 30677
(706) 769-9931
✔ PECOS✔ Accepts Medicare0.1 mi
Elizabeth Jean-Noel, ANP-BC
Nurse Practitioner
NPI 1134528763
1181 LANGFORD DR BLDG 200-103
Watkinsville, GA 30677
(706) 769-9931
✔ PECOS✔ Accepts Medicare0.1 mi
Jeremy Anthony, MD
Endocrinology
NPI 1487882056
2470 DANIELS BRIDGE RD STE 221
Athens, GA 30606
(706) 389-3180
✔ PECOS✔ Accepts Medicare0.7 mi
Milene Argo, MD
Internal Medicine
NPI 1255336848
2470 DANIELLS BRIDGE RD STE 231
Athens, GA 30606
(706) 769-3362
✔ PECOS✔ Accepts Medicare0.7 mi
Erick Avelar, MD
Cardiovascular Disease (Cardiology)
NPI 1699707125
2470 DANIELLS BRIDGE RD STE 251
Athens, GA 30606
(706) 389-3440
✔ PECOS✔ Accepts Medicare0.7 mi
Samantha Avoke, MD
Internal Medicine
NPI 1942662499
2470 DANIELLS BRIDGE RD STE 231
Athens, GA 30606
(706) 769-3362
✔ PECOS✔ Accepts Medicare0.7 mi
Diana Blake, MD
Internal Medicine
NPI 1023495470
2470 DANIELLS BRIDGE RD STE 231
Athens, GA 30606
(706) 769-3362
✔ PECOS✔ Accepts Medicare0.7 mi
Clay Chappell, MD
Interventional Cardiology
NPI 1285781138
2470 DANIELLS BRIDGE RD STE 251
Athens, GA 30606
(706) 389-3440
✔ PECOS✔ Accepts Medicare0.7 mi
Crystal Compton, NP
Nurse Practitioner
NPI 1114488020
2470 DANIELLS BRIDGE RD STE 251
Athens, GA 30606
(706) 389-3440
✔ PECOS✔ Accepts Medicare0.7 mi
Lucia Cotten, MD
Endocrinology
NPI 1710480579
2470 DANIELLS BRIDGE RD STE 221
Athens, GA 30606
(706) 389-3180
✔ PECOS✔ Accepts Medicare0.7 mi
Heather Croya, NP
Nurse Practitioner
NPI 1477281962
2470 DANIELLS BRIDGE RD STE 251
Athens, GA 30606
(706) 389-3440
✔ PECOS✔ Accepts Medicare0.7 mi
Kereisha Donegal, MD
Neurology
NPI 1417568106
2470 DANIELLS BRIDGE RD STE 261
Athens, GA 30606
(706) 310-1805
✔ PECOS✔ Accepts Medicare0.7 mi
James Dowling, DO
Cardiovascular Disease (Cardiology)
NPI 1902231327
2470 DANIELLS BRIDGE RD STE 251
Athens, GA 30606
(706) 389-3440
✔ PECOS✔ Accepts Medicare0.7 mi
Roop Dutta, MD
Cardiovascular Disease (Cardiology)
NPI 1568994341
2470 DANIELLS BRIDGE RD STE 251
Athens, GA 30606
(706) 389-3440
✔ PECOS✔ Accepts Medicare0.7 mi
Randy Lavender, MD
Orthopedic Surgery
NPI 1841637378
2470 DANIELLS BRIDGE RD STE 301
Athens, GA 30606
(706) 389-3590
✔ PECOS✔ Accepts Medicare0.7 mi
Catherine Lockhart, DO
Neurology
NPI 1144601048
2470 DANIELLS BRIDGE RD STE 261
Athens, GA 30606
(706) 310-1859
✔ PECOS✔ Accepts Medicare0.7 mi
Angela Mcswain, MD
Neurology
NPI 1760462568
2470 DANIELLS BRIDGE RD STE 261
Athens, GA 30606
(706) 310-1859
✔ PECOS✔ Accepts Medicare0.7 mi
Hiren Patel, MD
Interventional Cardiology
NPI 1740523778
2470 DANIELLS BRIDGE RD STE 251
Athens, GA 30606
(706) 389-3440
✔ PECOS✔ Accepts Medicare0.7 mi
Amit Shah, MD
Cardiac Electrophysiology
NPI 1225062128
2470 DANIELLS BRIDGE RD STE 251
Athens, GA 30606
(706) 389-3440
✔ PECOS✔ Accepts Medicare0.7 mi
David Woodbury, MD
Orthopedic Surgery
NPI 1770512311
2470 DANIELLS BRIDGE RD STE 301
Athens, GA 30606
(706) 389-3590
✔ PECOS✔ Accepts Medicare0.7 mi
See all 113 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Mary's Medical Group, Inc.'s NPI number?

The NPI number for St. Mary's Medical Group, Inc. is 1053935411. It was assigned to this organization in the NPPES registry on June 2, 2020. The provider is also known as St. Mary's Allergy Specialists.

Where is St. Mary's Medical Group, Inc. located?

St. Mary's Medical Group, Inc. is located at 1360 Caduceus Way Bldg 200-102, Watkinsville, GA 30677. The listed phone number is (706) 389-3810.

What is St. Mary's Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is St. Mary's Medical Group, Inc. enrolled in Medicare?

Yes. St. Mary's Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St. Mary's Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 113 clinicians in 20 Medicare specialties reassign their Medicare billing to St. Mary's Medical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (28), Internal Medicine (26) and Family Practice (11). Of these, 103 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St. Mary's Medical Group, Inc. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list St. Mary's Medical Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St. Mary's Medical Group, Inc. was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.