Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ST. MARY'S MEDICAL GROUP, INC.
NPI 1174914873
Internal Medicine in Athens, GA

Active since February 17, 2015CLIA 11D2109835 · Waiver
1500 OGLETHORPE AVE STE 200C, ATHENS, GA 30606(706) 389-3875(706) 389-3876 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 5, 2026, Nov 1, 2022, Jul 28, 2022 and 2 more (5 updates tracked since 2017).

About St. Mary's Medical Group, Inc. NPPES

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

ST. MARY'S MEDICAL GROUP, INC. (NPI 1174914873) is a healthcare organization registered as an internal medicine in Athens, Georgia and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists Brittainy Horne, President, as its authorized official.

NPPES Registry Identity

NPI1174914873
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameST. MARY'S MEDICAL GROUP, INC.
Location Address1500 OGLETHORPE AVE STE 200CAthens, GA 30606-2165
Mailing AddressPo Box 48089Athens, GA 30604-8089 · (706) 389-3740 · Fax (706) 389-3951
Fax(706) 389-3876
Organization SubpartNo
Authorized OfficialBrittainy HornePresident · (706) 389-3940
Enumeration DateFebruary 17, 2015
Last NPPES UpdateOctober 5, 20265 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1174914873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1500 OGLETHORPE AVE STE 200C, Athens, GA 30606

Other Names 1

Other NameCommunity Internal Medicine Of Athens

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2109835

St Mary's Medical Group Dba Community Internal Medicine Of Athens · Athens, GA
Active · expires Mar 2, 2028
CLIA Number11D2109835
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorLela Ward
Laboratory Phone(706) 389-3875
Laboratory LocationSt Mary's Medical Group Dba Community Internal Medicine Of Athens1500 Oglethorpe Ave, Suite 200-C, Athens, GA 30606
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Internal Medicine
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Nurse Practitioner (Obstetrics & Gynecology)
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Student in an Organized Health Care Education/Training Program
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Internal Medicine
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Internal Medicine
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Student in an Organized Health Care Education/Training Program
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Student in an Organized Health Care Education/Training Program
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606

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 1174914873. It was assigned to this organization in the NPPES registry on February 17, 2015. The provider is also known as Community Internal Medicine of Athens.

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

St. Mary's Medical Group, Inc. is located at 1500 Oglethorpe Ave Ste 200C, Athens, GA 30606. The listed phone number is (706) 389-3875.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does St. Mary's Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2109835) is associated with this NPI, valid through March 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.