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THOMAS A ALBRITTON MD
NPI 1851400063
Internal Medicine in Athens, GA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
72.81/100
CMS Quality Rating
1500 OGLETHORPE AVE STE 200C, ATHENS, GA 30606(706) 389-3875(706) 389-3876 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2026, Oct 24, 2022, Jun 28, 2021 and 5 more (8 updates tracked since 2017).

About Thomas A Albritton Md NPPES

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

THOMAS A ALBRITTON MD (NPI 1851400063) is an individual internal medicine provider in Athens, Georgia, licensed in Georgia (25409) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1851400063
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTHOMAS A ALBRITTONCredential: MD
Location Address1500 OGLETHORPE AVE STE 200CAthens, GA 30606-2165
Mailing AddressPo Box 48089Athens, GA 30604-8089 · (706) 389-3740 · Fax (706) 389-3951
Phone(706) 389-3875
Fax(706) 389-3876
Sole ProprietorNo
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 1980
Enumeration DateAugust 30, 2006
Last NPPES UpdateMarch 4, 20268 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1851400063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 25409
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1500 OGLETHORPE AVE STE 200C, Athens, GA 30606
Open in Google Maps ↗

Secondary Practice Location 1

Location 11120 15th StAugusta, GA 30912-0004 · Phone (706) 721-4078 · Fax (706) 721-1459

Other Identifiers 1

Medicaid000395865FGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas A Albritton Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254496284
PECOS Enrollment IDI20090209000010
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Thomas Albritton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Mary's Medical Group, Inc.
Same address
Infectious Disease
1500 OGLETHORPE AVE STE 200D
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 114 clinicians in this Medicare group
NPI 1144641747 (706) 559-4405
Au Medical Associates Inc
90 mi
Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 1,151 clinicians in this Medicare group
NPI 1841230620 (706) 721-2273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services31 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
26 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Hospital

Acute Care Hospitals · Athens, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110006
Location1230 Baxter StreetAthens, GA 30606 · Clarke County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.2
Promoting Interoperability78
Improvement Activities40
Cost62.51

Other Providers at the Same Location NPPES 20

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

ERIC JULIAN FLORESTAN MD, MT
Internal Medicine
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 389-3875
MICHELLE A NUSS MD
Internal Medicine
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 389-3875
SANDRA WALL HAYES WHNP
Nurse Practitioner (Obstetrics & Gynecology)
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 549-1111
DR. NAGA PRIYATHAM REDDY-MALLU MD
Student in an Organized Health Care Education/Training Program
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 389-3875
SCARLETT E SCHNEIDER MD
Internal Medicine
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 389-3875
BRUCE F MIDDENDORF MD
Internal Medicine
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 389-3875
CYRIL MINA
Student in an Organized Health Care Education/Training Program
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 389-3875
HANNAH ELIZABETH LUFT DO
Student in an Organized Health Care Education/Training Program
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 389-3875

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 Thomas Albritton's NPI number?

The NPI number for Thomas Albritton is 1851400063. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Thomas Albritton located?

Thomas Albritton practices at 1500 Oglethorpe Ave Ste 200C, Athens, GA 30606. The listed phone number is (706) 389-3875.

What is Thomas Albritton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Thomas Albritton enrolled in Medicare?

Yes. Thomas Albritton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Thomas Albritton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Albritton reassigns Medicare benefits to 2 organizations: St. Mary's Medical Group, Inc. (Athens, GA) and Au Medical Associates Inc (Augusta, GA). Each 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 Thomas Albritton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Albritton accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Thomas Albritton 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.

Is Thomas Albritton affiliated with any hospitals?

According to CMS data, Thomas Albritton is affiliated with St Mary's Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Albritton was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.