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ATHENA SHAY GARCIA
NPI 1992506109
Nurse Practitioner - Family in Hiawassee, GA

Active since March 24, 2025PECOS EnrolledAccepts Medicare Assignment
56 HOSPITAL ST, HIAWASSEE, GA 30546(706) 896-7858(706) 896-0877 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2026, Sep 15, 2025, Mar 24, 2025 (3 updates tracked since 2025).

About Athena Shay Garcia NPPES

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

ATHENA SHAY GARCIA (NPI 1992506109) is an individual family provider in Hiawassee, Georgia, licensed in Georgia (NP003989) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Union General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992506109
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameATHENA SHAY GARCIA
Location Address56 HOSPITAL STHiawassee, GA 30546-3251
Mailing Address56 Hospital StHiawassee, GA 30546-3251 · (706) 896-7858 · Fax (706) 896-0877
Phone(706) 896-7858
Fax(706) 896-0877
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 24, 2025
Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1992506109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · NP003989
Also ListedRegistered NurseTaxonomy 163W00000X · License 301534 (NC)
56 HOSPITAL ST, Hiawassee, GA 30546
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14799 Blue Ridge Dr Ste 104Blue Ridge, GA 30513-3468 · Phone (706) 632-1155 · Fax (706) 896-0877
Location 2346 Deep South Farm Rd Ste ABlairsville, GA 30512-2218 · Phone (706) 745-9417 · Fax (706) 896-0877

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Athena Shay Garcia 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 ID1658860176
PECOS Enrollment IDI20251027000327
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 Reassignment

Medicare enrollment records show Athena Garcia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Georgia Medicine LLC
13 mi
Family Medicine
346 DEEP SOUTH FARM RD STE A
Blairsville, GA 30512
  • Reassigned Medicare billing, Georgia enrollment
  • 16 clinicians in this Medicare group
NPI 1972766459 (706) 745-9417

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

Hospital Affiliations CMS Care Compare 2

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

Union General Hospital

Acute Care Hospitals · Blairsville, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110051
Location35 Hospital RoadBlairsville, GA 30512 · Union County
Emergency services Birthing friendly

Chatuge Regional Hospital

Critical Access Hospitals · Hiawassee, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111324
Location110 S Main StreetHiawassee, GA 30546 · Towns County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30546 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 2

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

AMANDA LEIGH HOLLANDSWORTH FNP
Nurse Practitioner (Family)
56 HOSPITAL ST
HIAWASSEE, GA 30546
Towns County (706) 896-7858
JONATHAN LAWRENCE MD
Family Medicine
56 HOSPITAL ST
HIAWASSEE, GA 30546
Towns County (706) 896-7858

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 Athena Garcia's NPI number?

The NPI number for Athena Garcia is 1992506109. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Athena Garcia located?

Athena Garcia practices at 56 Hospital St, Hiawassee, GA 30546. The listed phone number is (706) 896-7858.

What is Athena Garcia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Athena Garcia enrolled in Medicare?

Yes. Athena Garcia 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 organization bills Medicare for Athena Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Athena Garcia reassigns Medicare benefits to North Georgia Medicine LLC (Blairsville, GA). The 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 Athena Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Athena Garcia accept?

Health plans from Alliant Health Plans, Inc. list Athena Garcia 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 Athena Garcia affiliated with any hospitals?

According to CMS data, Athena Garcia is affiliated with Union General Hospital and Chatuge Regional Hospital.

When was this NPI record last updated?

The NPPES record for Athena Garcia was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.