Windermere Medical Group
We are in-Network participating Primary Care Provider with insurances listed here, However, Please verify with your insurance carrier if we are in-Network for your plan or not using our TAX-ID(45-1259435) or NPI(1922397553) for Northside Primary Care Professional services, LLC, because some insurance plans may have limited networks and/or hospital/county based restrictions. We are affiliated with Northside Hospital and our billing is performed by Northside Hospital Primary care physician billing department.
We offer reasonable self-pay rates for patients with no Insurance. Financial Assistance Available to those who qualify.
Insurance Plans
Aetna
Anthem Blue Cross Blue Shield
Bind
Cigna (except Local Plus, Connect and Simple choice)
Cigna + Oscar Open Access Plus
Coventry
Health One Alliance
Humana
Kaiser PPO & MultiChoice POS only (via Multi-Plan or PHCS Only)
Multi-Plan (except cost sharing plans and ValuePoint)
PHCS (except Practitioner Only & Practitioner/Ancillary Only )
Northside Health Network
Novanet
Oscar (All plans except Local)
QuikTrip
Surest
Tricare (Prime & Standard)
United Healthcare (All Plans)
VA Community Care Network (through Optum, Referrals are required by the VA for all services)
Allied Plans-Aetna, Cigna, Cigna Open Access, First Health Network PHCS
ALL HMO plans: PCP should be listed as our provider
VA Community Care Network (through Optum, Referrals are required by the VA for all services)
Ambetter from Peach State Health Plan (participating with Ambetter Core Products: Essential/Balanced/Secure Only)
CareSource Marketplace
Oscar (All plans except Local)
Pathway (Blue Cross Blue Shield)
UnitedHealthcare Exchange
(HMO plans: PCP should be our provider)
Aetna
Blue Cross Blue Shield
Cigna Medicare Advantage (formerly Cigna HealthSpring)
CareSource
Clear Springs Medicare Advantage
Clover Health Medicare Advantage
Humana
Kaiser - PCP should be our provider
Peach State (All Plans including AmBetter)
PruittHealth
Sonder Health Medicare Advantage
UnitedHealthcare
Wellcare (All Plans)
Medicaid Managed Care Plans (Georgia Medicaid Plans only)
Amerigroup Community Care (All Plans)
CareSource (All Plans)
Peach Care for Kids (All Plans)
Peach State (All Plans including AmBetter)
Services
Patient Care
Contact Us
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