NPIMap

Organization Active NPI

St Mary's Medical Group, Inc

  • Cardiovascular Disease Physician
  • Athens, GA
National Provider Identifier
1376711333
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ST MARY'S MEDICAL GROUP, INC
Practice address
2470 Daniells Bridge Rd Ste 251
Athens, GA 30606-6192
Phone
(706) 389-3440
Fax
(706) 353-2205
NPI assigned
Feb 13, 2008
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brittainy Horne
Title
President
Phone
(706) 389-3940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

2470 Daniells Bridge Rd Ste 251
Athens, GA 30606-6192

Mailing address

PO Box 48089
Athens, GA 30604-8089
Phone (706) 389-3740

Other practice location 1

355 Clear Creek Pkwy Ste 2004
Lavonia, GA 30553-4271
Phone (706) 389-3440

Other practice location 2

868 Michael Etchison Rd Ste B
Monroe, GA 30655-8204
Phone (706) 389-3440

Other practice location 3

2470 Daniells Bridge Rd Ste 300
Athens, GA 30606-6192
Phone (706) 389-3440

Other practice location 4

1110 Commerce Dr Ste 108
Greensboro, GA 30642-7444
Phone (706) 389-3440

Other practice location 5

1500 Oglethorpe Ave Ste 3700
Athens, GA 30606-2191
Phone (706) 389-3440

Other names 1

  • Oconee Heart and Vascular Center Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080616000388 GA Part B Supplier - Clinic/Group Practice 7113098393 Receives reassigned benefits from 126 practitioners
28 other NPIs on this enrollment
Practice locations: Athens, GA; Bogart, GA; Greensboro, GA; Lavonia, GA; Monroe, GA; Watkinsville, GA

Other NPIs on the same Medicare enrollment 28

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 28

National Provider Directory

National Provider Directory

Locations

355 Clear Creek Pkwy
Ste 2004
Lavonia, GA 30553
Phone (706) 356-0554

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7598/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 134

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 134

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1376711333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48089",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306048089",
            "telephone_number": "706-389-3740",
            "fax_number": "706-389-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 DANIELLS BRIDGE RD STE 251",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066192",
            "telephone_number": "706-389-3440",
            "fax_number": "706-353-2205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Clear Creek Pkwy Ste 2004",
            "address_purpose": "LOCATION",
            "city": "Lavonia",
            "state": "GA",
            "postal_code": "305534271",
            "country_code": "US",
            "telephone_number": "706-389-3440",
            "fax_number": "706-353-2205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "868 Michael Etchison Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "GA",
            "postal_code": "306558204",
            "country_code": "US",
            "telephone_number": "706-389-3440",
            "fax_number": "706-353-2205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2470 Daniells Bridge Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306066192",
            "country_code": "US",
            "telephone_number": "706-389-3440",
            "fax_number": "706-353-2205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Commerce Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "GA",
            "postal_code": "306427444",
            "country_code": "US",
            "telephone_number": "706-389-3440",
            "fax_number": "706-353-2205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Oglethorpe Ave Ste 3700",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062191",
            "country_code": "US",
            "telephone_number": "706-389-3440",
            "fax_number": "706-353-2205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST MARY'S MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "BRITTAINY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-389-3940"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Oconee Heart and Vascular Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Oconee Heart and Vascular Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.