SACRED HEART PRIMARY CARE
NPI 1497105597
Family Medicine in Lavonia, GA

Active since June 20, 2016CLIA 11D1062978 · Waiver
355 CLEAR CREEK PKWY STE 1003, LAVONIA, GA 30553(706) 356-1422(706) 356-1425 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 2, 2022, Apr 29, 2021, Mar 12, 2021 and 2 more (5 updates tracked since 2016).

About Sacred Heart Primary Care NPPES

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

SACRED HEART PRIMARY CARE (NPI 1497105597) is a healthcare organization registered as a family medicine in Lavonia, Georgia and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through January 2, 2027 and lists Brittainy Horne, President, as its authorized official.

NPPES Registry Identity

NPI1497105597
Entity TypeOrganization
Primary Taxonomy207Q00000X
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) 356-1425
Organization SubpartNo
Authorized OfficialBrittainy HornePresident · (706) 389-3940
Enumeration DateJune 20, 2016
Last NPPES UpdateNovember 2, 20225 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
NPI 1497105597 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.

355 CLEAR CREEK PKWY STE 1003, Lavonia, GA 30553

Other Names 1

Other NameSacred Heart 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

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 11D1062978

St Marys Medical Group, Inc Dba Sacred Heart Primary Care · Lavonia, GA
Active · expires Jan 2, 2027
CLIA Number11D1062978
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorRichard S. White III
Laboratory Phone(706) 356-1422
Laboratory LocationSt Marys Medical Group, Inc Dba Sacred Heart Primary Care355 Clear Creek Parkway, Suite 1003, Lavonia, GA 30553
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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.

Obstetrics & Gynecology
355 CLEAR CREEK PKWY STE 1003
LAVONIA, GA 30553
Obstetrics & Gynecology
355 CLEAR CREEK PKWY STE 1003
LAVONIA, GA 30553
Obstetrics & Gynecology
355 CLEAR CREEK PKWY STE 1003
LAVONIA, GA 30553
Family Medicine
355 CLEAR CREEK PKWY STE 1003
LAVONIA, GA 30553
Nurse Practitioner (Family)
355 CLEAR CREEK PKWY STE 1003
LAVONIA, GA 30553
Family Medicine
355 CLEAR CREEK PKWY STE 1003
LAVONIA, GA 30553
Nurse Practitioner (Family)
355 CLEAR CREEK PKWY STE 1003
LAVONIA, GA 30553

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 1497105597. It was assigned to this organization in the NPPES registry on June 20, 2016. The provider is also known as Sacred Heart Primary Care.

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) 356-1422.

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 11D1062978) is associated with this NPI, valid through January 2, 2027. 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 with the weekly NPPES data releases published by CMS.