ST. MARY'S MEDICAL GROUP, INC.
NPI 1528516929
Surgery in Lavonia, GA

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

The NPI number for St. Mary's Medical Group, Inc. is 1528516929. It was assigned to this organization in the NPPES registry on September 14, 2016.

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

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since September 14, 2016

355 CLEAR CREEK PKWY, SUITE 1008, LAVONIA, GA 30553(706) 356-6894(706) 356-4132 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 31, 2017, Mar 3, 2017, Sep 14, 2016 (3 updates tracked since 2016).

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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 1528516929) is a healthcare organization registered as a surgery in Lavonia, Georgia and active in the NPI registry since September 2016. The organization lists D. Montez Carter, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1528516929

Entity TypeOrganization

Primary Taxonomy208600000X

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

Location Address355 CLEAR CREEK PKWY, SUITE 1008Lavonia, GA 30553-4174

Mailing AddressPo Box 48089Athens, GA 30604-8089 · (706) 389-3930 · Fax (706) 389-3951

Phone(706) 356-6894

Fax(706) 356-4132

Organization SubpartNo

Authorized OfficialD. Montez CarterPresident & Ceo · (706) 389-3930

Enumeration DateSeptember 14, 2016

Last NPPES UpdateApril 2, 20183 updates tracked since enumeration

✔ NPI 1528516929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

355 CLEAR CREEK PKWY, Lavonia, GA 30553

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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. 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

Cassie Dawkins, NP

Nurse Practitioner

NPI 1881358174

355 CLEAR CREEK PKWY STE 1003
Lavonia, GA 30553

(706) 356-1422

✔ PECOS✔ Accepts Medicare16 mi

Amy Evans, NP

Nurse Practitioner

NPI 1730684101

355 CLEAR CREEK PKWY STE 1003
Lavonia, GA 30553

(706) 356-0780

✔ PECOS✔ Accepts Medicare16 mi

Amanda Thomason, DO

Family Practice

NPI 1558949933

355 CLEAR CREEK PKWY STE 1003
Lavonia, GA 30553

(706) 356-1422

✔ PECOS✔ Accepts Medicare16 mi

John Hurteau, MD

Plastic and Reconstructive Surgery

NPI 1821130311

2325 PRINCE AVE
Athens, GA 30606

(706) 546-0280

✔ PECOS✔ Accepts Medicare36 mi

Philip Kong, FNP-C

Nurse Practitioner

NPI 1205489929

658 N CHASE ST STE 201
Athens, GA 30601

(706) 389-7804

✔ PECOS✔ Accepts Medicare36 mi

Lance Mcleroy, MD

Gastroenterology

NPI 1508279332

658 N CHASE ST STE 201
Athens, GA 30601

(706) 389-7804

✔ PECOS✔ Accepts Medicare36 mi

Brian Burke, DO

Orthopedic Surgery

NPI 1659809846

658 N CHASE ST STE 201
Athens, GA 30601

(706) 389-3590

✔ PECOS36 mi

Mary Bond, M.D.

Internal Medicine

NPI 1235137886

1270 PRINCE AVE STE 201
Athens, GA 30606

(706) 475-7055

✔ PECOS✔ Accepts Medicare36 mi

James Barker, MD

Pulmonary Disease

NPI 1750358719

1500 OGLETHORPE AVE STE 200C
Athens, GA 30606

(706) 389-3875

✔ PECOS37 mi

Lia Bruner, MD

Family Practice

NPI 1265405849

1500 OGLETHORPE AVE STE 200C
Athens, GA 30606

(706) 389-3875

✔ PECOS✔ Accepts Medicare37 mi

Kathleen Jeffery, MD

General Surgery

NPI 1801909635

1500 OGLETHORPE AVE STE 2100
Athens, GA 30606

(706) 425-5437

✔ PECOS✔ Accepts Medicare37 mi

Mark Visitacion, MD

Infectious Disease

NPI 1912194960

1500 OGLETHORPE AVE STE 200D
Athens, GA 30606

(706) 559-4405

✔ PECOS✔ Accepts Medicare37 mi

Feroze Afzal, MD

Neurology

NPI 1598029423

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

(706) 548-6881

✔ PECOS✔ Accepts Medicare37 mi

Bryan Barnes, MD

Neurosurgery

NPI 1548281363

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

(706) 548-6881

✔ PECOS✔ Accepts Medicare37 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 Medicare37 mi

Daniel Boudreaux, MD

Pathology

NPI 1811063894

1230 BAXTER ST
Athens, GA 30606

(706) 389-2400

✔ PECOS✔ Accepts Medicare37 mi

Ogochukwu Nwanne, MD

Pediatric Medicine

NPI 1730563792

1230 BAXTER ST
Athens, GA 30606

(706) 389-3430

✔ PECOS37 mi

Amir Shirazi, MD

Hospitalist

NPI 1780115204

1230 BAXTER ST
Athens, GA 30606

(706) 389-3860

✔ PECOS✔ Accepts Medicare37 mi

Jeremy Anthony, MD

Endocrinology

NPI 1487882056

2470 DANIELS BRIDGE RD STE 221
Athens, GA 30606

(706) 389-3180

✔ PECOS✔ Accepts Medicare41 mi

Erick Avelar, MD

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.

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 1528516929. It was assigned to this organization in the NPPES registry on September 14, 2016.

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

St. Mary's Medical Group, Inc. is located at 355 Clear Creek Pkwy Suite 1008, Lavonia, GA 30553. The listed phone number is (706) 356-6894.

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

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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.

When was this NPI record last updated?

The NPPES record for St. Mary's Medical Group, Inc. was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.