ATHENS GERIATRICS AND INTERNAL MEDICINE, PC
NPI 1891918934
Internal Medicine - Geriatric Medicine in Athens, GA

Active since April 10, 2007CLIA 11D1067661 · Waiver
1500 OGLETHORPE AVE, SUITE 3200, ATHENS, GA 30606(706) 549-8931(706) 549-0088 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Athens Geriatrics And Internal Medicine, Pc NPPES

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

ATHENS GERIATRICS AND INTERNAL MEDICINE, PC (NPI 1891918934) is a healthcare organization registered as a geriatric medicine in Athens, Georgia and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through April 23, 2027 and lists Mark Jerome Paradela, President, as its authorized official.

NPPES Registry Identity

NPI1891918934
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameATHENS GERIATRICS AND INTERNAL MEDICINE, PC
Location Address1500 OGLETHORPE AVE, SUITE 3200Athens, GA 30606-2179
Mailing Address1500 Oglethorpe Ave, Suite 3200Athens, GA 30606-2179 · (706) 549-8931 · Fax (706) 549-0088
Fax(706) 549-0088
Organization SubpartNo
Authorized OfficialMark Jerome ParadelaPresident · (706) 549-8931
Enumeration DateApril 10, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1891918934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in GA · 049200
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
1500 OGLETHORPE AVE, Athens, GA 30606

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Athens Geriatrics And Internal Medicine, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20070531000055Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Athens Geriatrics And Internal Medicine, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Internal Medicine
NPI 1265500862
1500 OGLETHORPE AVE SUITE 3200
Athens, GA 30606
(706) 549-8931
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1437131596
1500 OGLETHORPE AVE SUITE 3200
Athens, GA 30606
(706) 549-8931
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1558047506
830 KING AVE
Athens, GA 30606
(706) 425-2400
✔ PECOS✔ Accepts Medicare1.4 mi
Nurse Practitioner
NPI 1053082115
2301 HENRY CLOWER BLVD STE 11
Snellville, GA 30078
(470) 684-2273
✔ PECOS35 mi
Nurse Practitioner
NPI 1982803995
1459 MONTREAL RD SUITE 207
Tucker, GA 30084
(770) 491-2622
✔ PECOS✔ Accepts Medicare48 mi

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 of Waiver 11D1067661

Athens Geriatrics And Internal Medicine PC · Athens, GA
Active · expires Apr 23, 2027
CLIA Number11D1067661
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorMark J. Paradela MD
Laboratory Phone(706) 549-8931
Laboratory LocationAthens Geriatrics And Internal Medicine PC1500 Oglethorpe Avenue Suite 3200, Athens, GA 30606
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Athens Geriatrics And Internal Medicine, PC's NPI number?

The NPI number for Athens Geriatrics And Internal Medicine, PC is 1891918934. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is Athens Geriatrics And Internal Medicine, PC located?

Athens Geriatrics And Internal Medicine, PC is located at 1500 Oglethorpe Ave Suite 3200, Athens, GA 30606. The listed phone number is (706) 549-8931.

What is Athens Geriatrics And Internal Medicine, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Athens Geriatrics And Internal Medicine, PC enrolled in Medicare?

Yes. Athens Geriatrics And Internal Medicine, PC is registered in the Medicare PECOS enrollment system.

When is Athens Geriatrics And Internal Medicine, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Athens Geriatrics And Internal Medicine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Athens Geriatrics And Internal Medicine, PC. 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 (3) and Internal Medicine (2). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Athens Geriatrics And Internal Medicine, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1067661) is associated with this NPI, valid through April 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Athens Geriatrics And Internal Medicine, PC 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 Athens Geriatrics And Internal Medicine, PC 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 Athens Geriatrics And Internal Medicine, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.