OrganizationSt. Mary'S Medical Group, Inc.(Community Internal Medicine Of Athens)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address1500 Oglethorpe Ave Ste 200c, Athens, GA 30606-2165(706) 389-3875(706) 389-3740PECOS EnrollmentBased on the most recent information from CMS, provider St. Mary'S Medical Group, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1174914873Provider TypeOrganizationFull NameSt. Mary'S Medical Group, Inc.Other NameCommunity Internal Medicine Of AthensSubpartNoEnumeration Date2/17/2015Last Updated11/1/2022Contact InformationPractice LocationPractice Address1500 Oglethorpe Ave Ste 200c, Athens, GA 30606-2165Phone(706) 389-3875Fax(706) 389-3876Mailing LocationMailing AddressPO Box 48089, Athens, GA 30604-8089Phone(706) 389-3740Fax(706) 389-3951Authorized OfficialNameHorne, Brittainy (President)Phone(706) 389-3940Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer