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ST. MARY'S PRIMARY CARE
NPI 1265850614
Family Medicine in Athens, GA

Active since April 02, 2014CLIA 11D1055103 · Waiver
1500 OGLETHORPE AVE STE 200A, ATHENS, GA 30606(706) 548-5833(706) 548-5608 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2024, Nov 2, 2022, Aug 17, 2022 and 5 more (8 updates tracked since 2017).

About St. Mary's Primary Care NPPES

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

ST. MARY'S PRIMARY CARE (NPI 1265850614) is a healthcare organization registered as a family medicine in Athens, Georgia and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through June 7, 2028 and lists Brittainy Horne, President, as its authorized official.

NPPES Registry Identity

NPI1265850614
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST. MARY'S MEDICAL GROUP, INC.
Location Address1500 OGLETHORPE AVE STE 200AAthens, GA 30606-2165
Mailing AddressPo Box 48089Athens, GA 30604-8089 · (706) 389-3740 · Fax (706) 389-3951
Phone(706) 548-5833
Fax(706) 548-5608
Organization SubpartNo
Authorized OfficialBrittainy HornePresident · (706) 389-3940
Enumeration DateApril 2, 2014
Last NPPES UpdateJuly 29, 20248 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1265850614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1500 OGLETHORPE AVE STE 200A, Athens, GA 30606
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Other Names 1

Doing Business AsSt. Mary's Primary Care

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 11D1055103

St Mary's Primary Care · Athens, GA
Active · expires Jun 7, 2028
CLIA Number11D1055103
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorVasu N. Murthy
Laboratory Phone(706) 548-5833
Laboratory LocationSt Mary's Primary Care1500 Oglethorpe Avenue, Suite 200-A, 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 3

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

VASU N MURTHY MD
Family Medicine
1500 OGLETHORPE AVE STE 200A
ATHENS, GA 30606
Clarke County (706) 548-5833
ENAKENO A MOKEDI MD
Family Medicine
1500 OGLETHORPE AVE STE 200A
ATHENS, GA 30606
Clarke County (706) 548-5833
FARRIS T JOHNSON JR. MD
Family Medicine
1500 OGLETHORPE AVE STE 200A
ATHENS, GA 30606
Clarke County (706) 548-5833

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 1265850614. It was assigned to this organization in the NPPES registry on April 2, 2014. The provider is doing business as St. Mary's Primary Care.

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

St. Mary's Medical Group, Inc. is located at 1500 Oglethorpe Ave Ste 200A, Athens, GA 30606. The listed phone number is (706) 548-5833.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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

Yes. A Certificate of Waiver (number 11D1055103) is associated with this NPI, valid through June 7, 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 July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.