Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ST. MARY'S MEDICAL GROUP, INC.
NPI 1912454224
Internal Medicine in Athens, GA

Active since September 02, 2016CLIA 11D2012746 · Waiver
2470 DANIELLS BRIDGE RD STE 231, ATHENS, GA 30606(706) 769-3362(706) 769-5675 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2026, Nov 2, 2022, Aug 17, 2022 and 6 more (9 updates tracked since 2016).

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 1912454224) is a healthcare organization registered as an internal medicine in Athens, Georgia and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through September 8, 2028 and lists Brittainy Horne, President, as its authorized official.

NPPES Registry Identity

NPI1912454224
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameST. MARY'S MEDICAL GROUP, INC.
Location Address2470 DANIELLS BRIDGE RD STE 231Athens, GA 30606-6188
Mailing AddressPo Box 48089Athens, GA 30604-8089 · (706) 389-3740 · Fax (706) 389-3951
Fax(706) 769-5675
Organization SubpartNo
Authorized OfficialBrittainy HornePresident · (706) 389-3940
Enumeration DateSeptember 2, 2016
Last NPPES UpdateOctober 5, 20269 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1912454224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
2470 DANIELLS BRIDGE RD STE 231, Athens, GA 30606

Other Names 1

Other NameSt. Mary's Internal Medicine Associates

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)

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. Of these, 103 practice within 10 miles. 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
Endocrinology
NPI 1487882056
2470 DANIELS BRIDGE RD STE 221
Athens, GA 30606
(706) 389-3180
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1255336848
2470 DANIELLS BRIDGE RD STE 231
Athens, GA 30606
(706) 769-3362
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1699707125
2470 DANIELLS BRIDGE RD STE 251
Athens, GA 30606
(706) 389-3440
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1942662499
2470 DANIELLS BRIDGE RD STE 231
Athens, GA 30606
(706) 769-3362
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1023495470
2470 DANIELLS BRIDGE RD STE 231
Athens, GA 30606
(706) 769-3362
✔ PECOS✔ Accepts Medicare0.1 mi
Interventional Cardiology
NPI 1285781138
2470 DANIELLS BRIDGE RD STE 251
Athens, GA 30606
(706) 389-3440
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1114488020
2470 DANIELLS BRIDGE RD STE 251
Athens, GA 30606
(706) 389-3440
✔ PECOS✔ Accepts Medicare0.1 mi
Endocrinology
NPI 1710480579
2470 DANIELLS BRIDGE RD STE 221
Athens, GA 30606
(706) 389-3180
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1477281962
2470 DANIELLS BRIDGE RD STE 251
Athens, GA 30606
(706) 389-3440
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1417568106
2470 DANIELLS BRIDGE RD STE 261
Athens, GA 30606
(706) 310-1805
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1902231327
2470 DANIELLS BRIDGE RD STE 251
Athens, GA 30606
(706) 389-3440
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1568994341
2470 DANIELLS BRIDGE RD STE 251
Athens, GA 30606
(706) 389-3440
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1558887455
2470 DANIELLS BRIDGE RD STE 251
Athens, GA 30606
(706) 389-3440
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1841637378
2470 DANIELLS BRIDGE RD STE 301
Athens, GA 30606
(706) 389-3590
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1144601048
2470 DANIELLS BRIDGE RD STE 261
Athens, GA 30606
(706) 310-1859
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1760462568
2470 DANIELLS BRIDGE RD STE 261
Athens, GA 30606
(706) 310-1859
✔ PECOS✔ Accepts Medicare0.1 mi
Interventional Cardiology
NPI 1740523778
2470 DANIELLS BRIDGE RD STE 251
Athens, GA 30606
(706) 389-3440
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiac Electrophysiology
NPI 1225062128
2470 DANIELLS BRIDGE RD STE 251
Athens, GA 30606
(706) 389-3440
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1770512311
2470 DANIELLS BRIDGE RD STE 301
Athens, GA 30606
(706) 389-3590
✔ PECOS✔ Accepts Medicare0.1 mi
Rheumatology
NPI 1669744769
1181 LANGFORD DR BLDG 200-103
Watkinsville, GA 30677
(706) 769-9931
✔ PECOS✔ Accepts Medicare0.8 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 of Waiver 11D2012746

St Mary's Internal Medicine Associates · Athens, GA
Active · expires Sep 8, 2028
CLIA Number11D2012746
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2026
Certificate Expiration DateSeptember 8, 2028
Laboratory DirectorSamantha Avoke
Laboratory Phone(709) 769-3362
Laboratory LocationSt Mary's Internal Medicine Associates2470 Daniells Bridge Road, Suite 231, Athens, GA 30606
CLIA data matches this NPI record on: Address Name
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 St. Mary's Medical Group, Inc.'s NPI number?

The NPI number for St. Mary's Medical Group, Inc. is 1912454224. It was assigned to this organization in the NPPES registry on September 2, 2016. The provider is also known as St. Mary's Internal Medicine Associates.

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

St. Mary's Medical Group, Inc. is located at 2470 Daniells Bridge Rd Ste 231, Athens, GA 30606. The listed phone number is (706) 769-3362.

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

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

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). Of these, 103 practice within 10 miles. 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 of Waiver (number 11D2012746) is associated with this NPI, valid through September 8, 2028. 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 October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.