ST. MARY'S MEDICAL GROUP, INC.
NPI 1316733355
Pathology - Anatomic Pathology & Clinical Pathology in Athens, GA

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

The NPI number for St. Mary's Medical Group, Inc. is 1316733355. It was assigned to this organization in the NPPES registry on April 16, 2025. The provider is also known as St. Mary's Pathology Specialists.

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

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since April 16, 2025

1230 BAXTER ST, ATHENS, GA 30606(706) 389-3000(706) 389-3951 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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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 1316733355) is a healthcare organization registered as an anatomic pathology & clinical pathology in Athens, Georgia and active in the NPI registry since April 2025. The organization lists Brittainy Horne, President, as its authorized official.

NPPES Registry Identity

NPI1316733355

Entity TypeOrganization

Primary Taxonomy207ZP0102X

Legal Business NameST. MARY'S MEDICAL GROUP, INC.

Location Address1230 BAXTER STAthens, GA 30606-3712

Mailing AddressPo Box 48089Athens, GA 30604-8089 · (706) 389-3740 · Fax (706) 389-3951

Phone(706) 389-3000

Fax(706) 389-3951

Organization SubpartNo

Authorized OfficialBrittainy HornePresident · (706) 389-3940

Enumeration DateApril 16, 2025

NPPES CertifiedApril 16, 2025

✔ NPI 1316733355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

1230 BAXTER ST, Athens, GA 30606

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Other Names 1

Other NameSt. Mary's Pathology 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

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 Medical Group, Inc. 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 Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 8 practice at this address and 103 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

Stephanie Bagwell, NP

Nurse Practitioner

NPI 1780257105

1230 BAXTER ST
Athens, GA 30606

(706) 389-2273

✔ PECOS✔ Accepts MedicareSame address

Daniel Boudreaux, MD

Pathology

NPI 1811063894

1230 BAXTER ST
Athens, GA 30606

(706) 389-2400

✔ PECOS✔ Accepts MedicareSame address

Joseph Gaines, MD

Pathology

NPI 1003882036

1230 BAXTER ST
Athens, GA 30606

(706) 389-2425

✔ PECOS✔ Accepts MedicareSame address

Hilary Metz, NP

Nurse Practitioner

NPI 1649707563

1230 BAXTER ST
Athens, GA 30606

(706) 389-3000

✔ PECOS✔ Accepts MedicareSame address

Ogochukwu Nwanne, MD

Pediatric Medicine

NPI 1730563792

1230 BAXTER ST
Athens, GA 30606

(706) 389-3430

✔ PECOSSame address

Charles Potter, MD

Pediatric Medicine

NPI 1023092897

1230 BAXTER ST
Athens, GA 30606

(706) 769-0005

✔ PECOSSame address

Amir Shirazi, MD

Hospitalist

NPI 1780115204

1230 BAXTER ST
Athens, GA 30606

(706) 389-3860

✔ PECOS✔ Accepts MedicareSame address

Zane Wade, MD

Pathology

NPI 1366418493

1230 BAXTER ST PATHOLOGY DEPT
Athens, GA 30606

(706) 389-2425

✔ PECOS✔ Accepts MedicareSame address

Feroze Afzal, MD

Neurology

NPI 1598029423

2142 W BROAD ST, BLDG 100, STE 200
Athens, GA 30606

(706) 548-6881

✔ PECOS✔ Accepts Medicare0.3 mi

Bryan Barnes, MD

Neurosurgery

NPI 1548281363

2142 W BROAD ST, BLDG 100, STE 200
Athens, GA 30606

(706) 548-6881

✔ PECOS✔ Accepts Medicare0.3 mi

John Cuff, MD

Neurosurgery

NPI 1275554024

2142 W BROAD ST, BLDG 100, STE 200
Athens, GA 30606

(706) 548-6881

✔ PECOS✔ Accepts Medicare0.3 mi

William Evans, AGACNP-BC

Nurse Practitioner

NPI 1568035681

2142 W BROAD ST BLDG 100 STE 200
Athens, GA 30606

(706) 548-6881

✔ PECOS✔ Accepts Medicare0.3 mi

Matthew Kellar, PT

Physical Therapist in Private Practice

NPI 1013256643

2142 W BROAD ST, BLDG 100, STE 200
Athens, GA 30606

(706) 548-6881

✔ Accepts Medicare0.3 mi

Mary Mcafee, DNP

Nurse Practitioner

NPI 1902790587

2142 W BROAD ST BLDG 100 STE 200
Athens, GA 30606

(706) 548-6881

✔ PECOS✔ Accepts Medicare0.3 mi

Robert Townsend, MD

Neurosurgery

NPI 1831545979

2142 W BROAD ST BLDG 100 STE 200
Athens, GA 30606

(706) 548-6881

✔ PECOS✔ Accepts Medicare0.3 mi

Viren Vasudeva, MD

Neurosurgery

NPI 1386930170

2142 W BROAD ST, BLDG 100, STE 200
Athens, GA 30606

(706) 548-6881

✔ PECOS✔ Accepts Medicare0.3 mi

Michael Woodall, MD

Neurosurgery

NPI 1144458662

2142 W BROAD ST, BLDG 100, STE 200
Athens, GA 30606

(706) 548-6881

✔ PECOS✔ Accepts Medicare0.3 mi

Stephanie Wallace, APRN-NP

Nurse Practitioner

NPI 1124087879

745 S MILLEDGE AVE STE 1A
Athens, GA 30605

(706) 498-9560

✔ PECOS✔ Accepts Medicare1.0 mi

Mary Bond, M.D.

Internal Medicine

NPI 1235137886

1270 PRINCE AVE STE 201
Athens, GA 30606

(706) 475-7055

✔ PECOS✔ Accepts Medicare1.2 mi

Brian Burke, DO

Orthopedic Surgery

NPI 1659809846

658 N CHASE ST STE 201
Athens, GA 30601

(706) 389-3590

✔ PECOS1.3 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 1316733355. It was assigned to this organization in the NPPES registry on April 16, 2025. The provider is also known as St. Mary's Pathology Specialists.

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

St. Mary's Medical Group, Inc. is located at 1230 Baxter St, Athens, GA 30606. The listed phone number is (706) 389-3000.

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

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

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, 8 practice at this address and 103 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for St. Mary's Medical Group, Inc. was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.