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CLEAR CREEK OB/GYN
NPI 1437407053
Obstetrics & Gynecology in Lavonia, GA

Active since August 29, 2012CLIA 11D2050751 · Microscopy
355 CLEAR CREEK PKWY STE 1003, LAVONIA, GA 30553(706) 356-0780(706) 356-0781 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2022, Mar 12, 2021, Nov 2, 2017 (3 updates tracked since 2017).

About Clear Creek Ob/gyn NPPES

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

CLEAR CREEK OB/GYN (NPI 1437407053) is a healthcare organization registered as an obstetrics & gynecology in Lavonia, Georgia and active in the NPI registry since August 2012. The organization holds a CLIA Microscopy certificate valid through December 4, 2026 and lists Brittainy Horne, President, as its authorized official.

NPPES Registry Identity

NPI1437407053
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameST. MARY'S MEDICAL GROUP, INC.
Location Address355 CLEAR CREEK PKWY STE 1003Lavonia, GA 30553-4271
Mailing AddressPo Box 48089Athens, GA 30604-8089 · (706) 389-3740 · Fax (706) 389-3951
Phone(706) 356-0780
Fax(706) 356-0781
Organization SubpartNo
Authorized OfficialBrittainy HornePresident · (706) 389-3940
Enumeration DateAugust 29, 2012
Last NPPES UpdateNovember 2, 20223 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
✔ NPI 1437407053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
355 CLEAR CREEK PKWY STE 1003, Lavonia, GA 30553
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Other Names 1

Other NameClear Creek Ob/gyn

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 for Provider-Performed Microscopy Procedures (PPMP) 11D2050751

St Mary's Medical Group, Inc D/B/A Clear Creek Obgyn · Lavonia, GA
Active · expires Dec 4, 2026
CLIA Number11D2050751
Laboratory TypePhysician Office
Certificate Effective DateDecember 5, 2024
Certificate Expiration DateDecember 4, 2026
Laboratory DirectorDr. Richard S. White III
Laboratory Phone(706) 356-0780
Laboratory LocationSt Mary's Medical Group, Inc D/B/A Clear Creek Obgyn355 Clear Creek Pkwy Suite 1003, Lavonia, GA 30553
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

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

JAMES R BAUERBAND MD
Obstetrics & Gynecology
355 CLEAR CREEK PKWY STE 1003
LAVONIA, GA 30553
Franklin County (706) 356-0780
RICHARD S WHITE III MD
Obstetrics & Gynecology
355 CLEAR CREEK PKWY STE 1003
LAVONIA, GA 30553
Franklin County (706) 356-0780
ST. MARY'S MEDICAL GROUP, INC.
Family Medicine
355 CLEAR CREEK PKWY STE 1003
LAVONIA, GA 30553
Franklin County (706) 356-1422
AMANDA B THOMASON DO
Family Medicine
355 CLEAR CREEK PKWY STE 1003
LAVONIA, GA 30553
Franklin County (706) 356-1422
AMY N EVANS NP
Nurse Practitioner (Family)
355 CLEAR CREEK PKWY STE 1003
LAVONIA, GA 30553
Franklin County (706) 356-0780
CRYSTAL D BRIGHT MD
Family Medicine
355 CLEAR CREEK PKWY STE 1003
LAVONIA, GA 30553
Franklin County (706) 356-1422
CASSIE M DAWKINS NP
Nurse Practitioner (Family)
355 CLEAR CREEK PKWY STE 1003
LAVONIA, GA 30553
Franklin County (706) 356-1422

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 1437407053. It was assigned to this organization in the NPPES registry on August 29, 2012. The provider is also known as Clear Creek Ob/Gyn.

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

St. Mary's Medical Group, Inc. is located at 355 Clear Creek Pkwy Ste 1003, Lavonia, GA 30553. The listed phone number is (706) 356-0780.

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

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

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

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D2050751) is associated with this NPI, valid through December 4, 2026. 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 2, 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.