NPIMap

Organization Active NPI

Greater Athens Physicians, Inc

  • Family Medicine Physician
  • Watkinsville, GA
National Provider Identifier
1639128143
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GREATER ATHENS PHYSICIANS, INC
Practice address
1550 Mars Hill Rd
Watkinsville, GA 30677-4836
Phone
(706) 769-6469
Fax
(706) 769-4402
NPI assigned
May 10, 2006
Last updated
Sep 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Authorized official

Name
Mrs. Jan Walker Lee
Title
Administrator
Phone
(706) 769-6469

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1550 Mars Hill Rd
Watkinsville, GA 30677-4836

Mailing address

1550 Mars Hill Rd
PO Box 409
Watkinsville, GA 30677-4836
Phone (706) 769-6469

Other identifiers 1

IdentifierTypeStateIssuer
55003137AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040430001028 GA Part B Supplier - Clinic/Group Practice 4587652474 Receives reassigned benefits from 9 practitioners
Practice locations: Athens, GA; Bogart, GA; Lexington, GA; Watkinsville, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0703931Greater Athens Physicians1550 Mars Hill Road, Watkinsville, GA 30677Provider-performed microscopyAug 28, 2027

National Provider Directory

National Provider Directory

Locations

1450 Barnett Shoals Rd
Ste B
Athens, GA 30605
Phone (706) 543-6443

855 Gaines School Rd
Ste G
Athens, GA 30605
Phone (706) 543-6443

10094 Highway 72 W
Hull, GA 30646

1550 Mars Hill Rd
Watkinsville, GA 30677
Phone (706) 769-4852

Interoperability endpoints

  • Direct secure messaging: henry.morris@gapi.gadirect.net

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1639128143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 MARS HILL RD",
            "address_2": "PO BOX 409",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774836",
            "telephone_number": "706-769-6469",
            "fax_number": "706-769-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MARS HILL RD",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774836",
            "telephone_number": "706-769-6469",
            "fax_number": "706-769-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER ATHENS PHYSICIANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-769-6469",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55003137A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.