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COMMUNITY INTERNAL MEDICINE OF ATHENS
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: November 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2022, Jul 28, 2022, Mar 12, 2021 and 1 more (4 updates tracked since 2017).

About Community Internal Medicine Of Athens NPPES

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

COMMUNITY INTERNAL MEDICINE OF ATHENS (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
Phone(706) 389-3875
Fax(706) 389-3876
Organization SubpartNo
Authorized OfficialBrittainy HornePresident · (706) 389-3940
Enumeration DateFebruary 17, 2015
Last NPPES UpdateNovember 1, 20224 updates tracked since enumeration
NPPES CertifiedNovember 1, 2022
✔ 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
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Other Names 1

Other NameCommunity Internal Medicine Of Athens

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 ›

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.

ERIC JULIAN FLORESTAN MD, MT
Internal Medicine
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 389-3875
MICHELLE A NUSS MD
Internal Medicine
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 389-3875
SANDRA WALL HAYES WHNP
Nurse Practitioner (Obstetrics & Gynecology)
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 549-1111
DR. NAGA PRIYATHAM REDDY-MALLU MD
Student in an Organized Health Care Education/Training Program
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 389-3875
SCARLETT E SCHNEIDER MD
Internal Medicine
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 389-3875
BRUCE F MIDDENDORF MD
Internal Medicine
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 389-3875
CYRIL MINA
Student in an Organized Health Care Education/Training Program
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 389-3875
HANNAH ELIZABETH LUFT DO
Student in an Organized Health Care Education/Training Program
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 389-3875

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 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.