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: October 25, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clear Creek Ob/gyn 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 Clear Creek Ob/Gyn, which bills Medicare for the services they deliver. 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
Nurse Practitioner
NPI 1881358174
355 CLEAR CREEK PKWY STE 1003
Lavonia, GA 30553
(706) 356-1422
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1730684101
355 CLEAR CREEK PKWY STE 1003
Lavonia, GA 30553
(706) 356-0780
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1558949933
355 CLEAR CREEK PKWY STE 1003
Lavonia, GA 30553
(706) 356-1422
✔ PECOS✔ Accepts Medicare16 mi
Plastic and Reconstructive Surgery
NPI 1821130311
2325 PRINCE AVE
Athens, GA 30606
(706) 546-0280
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1205489929
658 N CHASE ST STE 201
Athens, GA 30601
(706) 389-7804
✔ PECOS✔ Accepts Medicare36 mi
Gastroenterology
NPI 1508279332
658 N CHASE ST STE 201
Athens, GA 30601
(706) 389-7804
✔ PECOS✔ Accepts Medicare36 mi
Orthopedic Surgery
NPI 1659809846
658 N CHASE ST STE 201
Athens, GA 30601
(706) 389-3590
✔ PECOS36 mi
Internal Medicine
NPI 1235137886
1270 PRINCE AVE STE 201
Athens, GA 30606
(706) 475-7055
✔ PECOS✔ Accepts Medicare36 mi
Pulmonary Disease
NPI 1750358719
1500 OGLETHORPE AVE STE 200C
Athens, GA 30606
(706) 389-3875
✔ PECOS37 mi
Family Practice
NPI 1265405849
1500 OGLETHORPE AVE STE 200C
Athens, GA 30606
(706) 389-3875
✔ PECOS✔ Accepts Medicare37 mi
General Surgery
NPI 1801909635
1500 OGLETHORPE AVE STE 2100
Athens, GA 30606
(706) 425-5437
✔ PECOS✔ Accepts Medicare37 mi
Infectious Disease
NPI 1912194960
1500 OGLETHORPE AVE STE 200D
Athens, GA 30606
(706) 559-4405
✔ PECOS✔ Accepts Medicare37 mi
Neurology
NPI 1598029423
2142 W BROAD ST, BLDG 100, STE 200
Athens, GA 30606
(706) 548-6881
✔ PECOS✔ Accepts Medicare37 mi
Neurosurgery
NPI 1548281363
2142 W BROAD ST, BLDG 100, STE 200
Athens, GA 30606
(706) 548-6881
✔ PECOS✔ Accepts Medicare37 mi
Physical Therapist in Private Practice
NPI 1013256643
2142 W BROAD ST, BLDG 100, STE 200
Athens, GA 30606
(706) 548-6881
✔ Accepts Medicare37 mi
Pathology
NPI 1811063894
1230 BAXTER ST
Athens, GA 30606
(706) 389-2400
✔ PECOS✔ Accepts Medicare37 mi
Pediatric Medicine
NPI 1730563792
1230 BAXTER ST
Athens, GA 30606
(706) 389-3430
✔ PECOS37 mi
Hospitalist
NPI 1780115204
1230 BAXTER ST
Athens, GA 30606
(706) 389-3860
✔ PECOS✔ Accepts Medicare37 mi
Endocrinology
NPI 1487882056
2470 DANIELS BRIDGE RD STE 221
Athens, GA 30606
(706) 389-3180
✔ PECOS✔ Accepts Medicare41 mi
Cardiovascular Disease (Cardiology)
NPI 1699707125
2470 DANIELLS BRIDGE RD STE 251
Athens, GA 30606
(706) 389-3440
✔ PECOS✔ Accepts Medicare41 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.

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.

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.

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). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.