OrganizationAthens Medical Associates PcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address130 Hawthorne Park Dr., Athens, GA 30606(706) 227-2700PECOS EnrollmentBased on the most recent information from CMS, provider Athens Medical Associates Pc 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 ID1487667630Provider TypeOrganizationFull NameAthens Medical Associates PcSubpartNoEnumeration Date8/15/2006Last Updated9/21/2021Contact InformationPractice LocationPractice Address130 Hawthorne Park Dr., Athens, GA 30606Phone(706) 227-2700Fax(706) 227-2838Mailing LocationMailing Address130 Hawthorne Park Dr., 130 Hawthorne Park Dr., Athens, GA 30606Phone(706) 227-2700Fax(706) 227-2838Authorized OfficialNameButt, Zaigham A (Physician)Phone(706) 227-2700Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense040338GeorgiaProvider IdentifiersIDDescriptionIssuerID000667312JDescriptionMedicaidIssuerUnlistedGeorgia