• 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


    Anthem Blue Cross Blue Shield

    Cigna (except Local Plus, Connect and Simple choice)

    Cigna + Oscar Open Access Plus
    Health One Alliance

    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

    Oscar (All plans except Local)

    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)

    Exchange Plans

    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



    Medicare Advantage Plans

    (HMO plans: PCP should be our provider)
    Blue Cross Blue Shield
    Cigna Medicare Advantage (formerly Cigna HealthSpring)

    Clear Springs Medicare Advantage

    Clover Health Medicare Advantage
    Kaiser - PCP should be our provider
    Peach State (All Plans including AmBetter)


    Sonder Health Medicare Advantage

    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)


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