ST. MARY'S MEDICAL GROUP, INC. (NPI# 1912454224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912454224 |
| Entity Type | Organization |
| Organization Name | ST. MARY'S MEDICAL GROUP, INC. |
| Other Organization Name | ST. MARY'S INTERNAL MEDICINE ASSOCIATES |
| Practice Address |
2470 Daniels Bridge Rd Ste 271 Athens GA 30606 |
| Mailing Address |
Po Box 48089 Athens GA 30604-8089 |
| Practice Telephone | 7067693362 |
| Practice Fax Number | 7067695675 |
| Mailing Telephone | 7063893740 |
| Mailing Fax Number | 7063893951 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2018-08-03 |
| Authorized Official Name | D. MONTEZ CARTER (PRESIDENT & CEO) |
| Authorized Official Telephone | 7063893930 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Mary's Internal Medicine Associates | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2410 Hog Mountain Rd, Suite 205, Watkinsville, GA 306774811 | 7067693362 | 7067695675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935411 | St. Mary's Medical Group, Inc. | Allergy & Immunology | 1360 Caduceus Way Bldg 200-102, Watkinsville, GA 30677-7349 | 2020-06-02 |
| 1437407053 | St. Mary's Medical Group, Inc. | Obstetrics & Gynecology | 355 Clear Creek Pkwy Ste 1004, Lavonia, GA 30553-4271 | 2012-08-29 |
| 1336446608 | St. Mary's Medical Group, Inc. | Internal Medicine | 700 Sunset Dr Ste 302, Athens, GA 30606-7721 | 2011-02-22 |
| 1932672300 | St. Mary's Medical Group, Inc. | Internal Medicine | 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677-4176 | 2019-01-08 |
| 1083189591 | St. Mary's Medical Group, Inc. | Neurological Surgery | 2142 W Broad St Ste 200, Athens, GA 30606-3506 | 2018-10-11 |
| 1285116210 | St. Mary's Medical Group, Inc. | Family Medicine | 1181 Langford Dr Ste 103, Watkinsville, GA 30677 | 2018-09-06 |
| 1528516929 | St. Mary's Medical Group, Inc. | Surgery | 355 Clear Creek Pkwy, Suite 1008, Lavonia, GA 30553-4174 | 2016-09-14 |
| 1497105597 | St. Mary's Medical Group, Inc. | Family Medicine | 12134 Augusta Rd, Suite A, Lavonia, GA 30553-1208 | 2016-06-20 |
| 1003264524 | St. Mary's Medical Group, Inc. | Internal Medicine | 1622 Mars Hill Rd Ste C, Watkinsville, GA 30677-4893 | 2016-05-25 |
| 1588047138 | St. Mary's Medical Group, Inc. | Pediatrics | 1020 Jamestown Blvd, Bldg 200, Watkinsville, GA 30677-4131 | 2015-07-01 |
| Street Address |
2470 DANIELS BRIDGE RD STE 271 |
| City | ATHENS |
| State | GA |
| Zip Code | 30606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255336848 | Milene J Argo | Internal Medicine | 2470 Daniels Bridge Rd Ste 271, Athens, GA 30606 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346897550 | Leap Medical Services LLC | Internal Medicine | 22375 Troon Dr, Athens, AL 35613-8138 | 2019-08-22 |
| 1083140230 | Leah Anne Reid | Internal Medicine | 1270 Prince Ave., Suite 201, Athens, GA 30606 | 2017-05-10 |
| 1548795701 | Rebekah Danielle Sherlin-chaplin | Internal Medicine | 325 County Road 126, Athens, TN 37303-6770 | 2017-04-25 |
| 1972850055 | Junaid Nasir | Internal Medicine | 5105 Jefferson Rd Ste B, Athens, GA 30607 | 2012-08-08 |
| 1942594973 | Andrew C. Mckown | Internal Medicine | 3320 Old Jefferson Rd Ste 200a, Athens, GA 30607-1478 | 2011-06-07 |
| 1326285537 | W Randolph Purdy | Internal Medicine | 65 Pine Ln, Athens, OH 45701-3426 | 2009-01-09 |
| 1730338815 | Anna Alexander | Internal Medicine | 2142 West Broad Street, Building 200, Kaiser Permanente Athens Medical Center, Athens, GA 30606 | 2008-09-15 |
| 1952567505 | Kuang Shah Chang | Internal Medicine | 3320 Old Jefferson Rd Ste 700, Athens, GA 30607-1465 | 2008-08-04 |
| 1043483720 | James L. Brown, Jr., M.d., P.C. | Internal Medicine | 2090 Prince Ave, Building A, Athens, GA 30606-6047 | 2008-04-02 |
| 1346428356 | Clara Herrin | Internal Medicine | 370 River Rd, Athens, GA 30602-1526 | 2008-02-01 |
| Find all providers in ATHENS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.