Southern Regional Health System Employee Table of Contents UNDERSTANDING YOUR HEALTH PLAN...2 HMO HOSPITAL MAP...6 PARTICIPATING HOSPITALS...8 URGENT CARE CENTERS...11 ANCILLARY PROVIDERS...13 PRIMARY CARE PHYSICIANS...40 PARTICIPATING SPECIALIST PHYSICIANS...83 ACTIVHEALTHCARE CHIROPRACTIC TWORK...256 MENTAL HEALTH/SUBSTANCE ABUSE...263 PHYSICIAN INDEX...264
SOUTHERN REGIONAL HEALTH SYSTEM ASO Employee Health Plans Southern Regional Health System Employee Health Plans are administered by Coventry Health Care of Georgia, Inc. and will use this Provider and Hospital Directory. This section contains summary information only. Please refer to your Benefits Summary - Trifold Document and Summary Plan Description for a complete description of these plan benefits. Customer Service Coventry has a dedicated Customer Service Department for members who are participating in Southern Regional Health System s Employee Health Benefits. Please note that providers may have been added or deleted since this directory was printed. For the most current listing, please visit the Southern Regional Health System website located on the Coventry website at www.chcga.com. This site also provides detailed information regarding your benefit plan, covered services, prescription drug plan, and other answers to frequently asked questions. You can reach Coventry Customer Service at (866)732-1017. Representatives are available to answer your questions, Monday through Friday, from 7:00 am to 6:00 pm EST. My Online Services You can manage your personal health privately, and you can check your personal health benefit information online when it is convenient for you! Your benefit information is available 24 hours a day, seven days a week. You have the ability to change your PCP; view eligibility and benefits; perform online provider search, and online pharmacy formulary search; check claims, preauthorizations, and referral status; set wellness reminders; access the Coventry WellBeing Self Care and Wellness Program; and print a temporary ID card. All active members can register by logging into the Southern Regional Health System website located on the Coventry website at www.chcga.com. Then click on the red Login/Register button on the left side of your screen to enter the password protected Member area. Then follow the easy instructions. HMO, Premier and Premier Plus Two-Tier Physician and Hospital Network The Southern Regional Health System HMO, Premier and Premier Plus Employee Plans contain 2 different benefit levels depending upon the network you access for your health services. It uses a two-tier network of physicians and hospitals. The 1 st tier network is the Southern Regional Health System Network, and is a subset of the Coventry Health Care of Georgia Network ( 2nd tier network). Choosing Primary Care doctors, specialists, and hospitals in the Southern Regional ASO network will generally result in
lower copays for you. PCP selection does not affect your ability to access both Coventry and Southern Regional ASO providers. The HMO and Premier Plans do not have out-ofnetwork benefits except in urgent and emergent situations. Primary Care Physician Your Primary Care Physician (PCP) acts as your personal physician coordinating all of your health care needs in the HMO plan only. In the HMO Plan, you must choose an innetwork Southern Regional ASO or Coventry PCP for yourself and each member of your family. Each family member can choose the same doctor or a different one it s your choice. If you choose a Southern Regional ASO Network Physician (1 st tier), you will be responsible for a lower copay than if you choose a Coventry Network Physician (2 nd tier). The name and phone number of the PCP you select will be listed on your Member ID card. If you do not see your Provider listed in this Directory, please refer to the Southern Regional Health System website located on the Coventry website at www.chcga.com for the most current listing. Southern Regional Health System members enrolled in the Premier or Premier Plus plans are not required to choose a PCP. These plans are Open Access, which means you can selfrefer to an in-network primary care physician or specialist. Seeking Care from a Specialist Members enrolled in the HMO Plan, which require selection of a PCP, will need a verbal referral from their PCP to see a Specialist - with the exception of Dermatology, OB/Gynecology, Ophthalmology, Mental Health/Chemical Dependency and Chiropractic services. If you see a specialist without a referral from your PCP, you may be responsible for all or part of the charges. Members enrolled in the Premier and Premier Plus plans do not select a PCP and will not need a PCP referral to see a Specialist. We recommend keeping your PCP informed whenever you seek care from other providers even if a referral is not required. Premier Plus plan Members may seek services from an Out-of Network Provider according to plan guidelines and at a higher cost. Special Arrangement for Certain Pediatricians The Children s Health Network, Kids First Network, and Children s HealthCare of Atlanta are considered to be within the Southern Regional ASO (1 st tier) network, which has lower copays for medical services.
Vision Care Benefits Your benefit plan covers one routine vision examination every 12 months. You must use a participating ophthalmologist. Participating ophthalmologists are listed in the provider directory and do not require a PCP referral. Please note: This benefit does not include discounts or benefits covering the purchase of glasses or contacts. Using your Mental Health and Chemical Dependency Services All members who are participating in Southern Regional Health System s Employee Health Benefits are eligible for Mental Health/Chemical Dependency as described in the Summary Plan Description and Benefit Summary. Medically Necessary outpatient Mental Health/Chemical Dependency office visits are limited to a combined maximum of 30 visits per member in any Benefit Year without a referral. You can access your Mental Health/Chemical Dependency services, administered by American Psych Systems (APS), directly through a toll-free number (877) 488-5488. Mental Health providers are not listed in this directory. You may also access the APS provider search at www.apshealthcare.com. User logon is Coventry of Georgia HMO. An authorization from APS is required for inpatient, outpatient and residential hospital services. Please contact APS for a current listing of Coventry participating Mental Health providers or to seek an authorization for inpatient or outpatient hospital services. Failure to obtain authorization may result in non-payment for services or reduction in the benefits available to you. American Psych Systems (APS) business hours are 8 am to 6 pm EST; however, emergency services are available 24 hours a day, 7 days a week. Using your Chiropractic Benefit Spinal manipulations are only available through the ActivHealthCare Network of providers. There is no out-of-network benefit for this service. Benefits are limited to one visit per day and a maximum of 20 visits per Benefit Year per member. Chiropractors are listed in a separate section of the directory. For a current listing visit the ActivHealthCare website at www.activhealthcare.com. Auto liability cases are excluded under the chiropractic benefit. Seeking Care in an Emergency Under the Plans, you are covered for medically necessary emergencies that occur when you are in or out of the Southern Regional ASO or Coventry Network service area. Emergency Services means those health care services that are provided for a condition of recent onset and sufficient severity, including, but not limited to, severe pain that would lead a prudent layperson, possessing an average knowledge of medicine and health, to believe that his/her condition, sickness or injury is of such a nature that failure to obtain immediate medical care could result in: Placing the Member s health in serious jeopardy; Placing the health of a pregnant Member and the health of her unborn child in serious jeopardy; Serious impairment to bodily function; or Serious dysfunction of the body. In short, this means Emergency Services are considered Medically Necessary where a prudent layperson, acting reasonably, would have believed that an emergent medical condition existed.
If you receive services in an emergency room and those services are determined to be not medically necessary, the emergency room claim may be denied and you may be held financially responsible for the entire bill. In a medical emergency, go to the nearest medical facility/hospital, or dial 911 for treatment. Call (or have someone call) your PCP within 48 hours or as soon as possible! If you are in a Plan that does not require selection of a PCP, call Coventry Customer Service at (866) 732 1017. When Hospital Care is Needed Should you need inpatient hospital care or outpatient care, your admitting Physician will obtain an authorization, if needed, from Coventry Health Care of Georgia and arrange hospital care for you. Please remind your physician that you need to go to either a Coventry network hospital in order to get in-network benefits, or to a Southern Regional ASO hospital within the Coventry network to get in-network benefits at the lowest copay. Before an elective admission, it is your responsibility to ensure that the authorization is obtained and that you are aware that your financial responsibility will depend upon the participation status of the facility. When to pay Copayment/Coinsurance/Deductible Please pay any copayment at the provider s office when you receive medical care. Your provider may choose to collect some or all of your coinsurance or deductible payments at the time of service. HIPAA Notification and Authorized Representative Coventry Health Care, Inc. will make sure that your personal health information (PHI) is only used and shared consistent with HIPAA standards. Our current notice is posted at www.cvty.com. If you would like to designate a person to receive information about your benefits or to have access to your PHI, please contact Coventry Customer Service to obtain a Member Designated Release of Information Form. IT IS YOUR RESPONSIBILITY TO ENSURE YOUR PHYSICIAN REFERS YOU TO OTHER IN-TWORK PROVIDERS. PLEASE CONTACT COVENTRY HEALTH CARE, INC. AT 1-866-732-1017 IF YOU HAVE ANY QUESTIONS ABOUT THE TWORK STATUS OF YOUR PHYSICIAN PROVIDERS.
575 Coventry Health Care of Georgia Southern Regional ASO Hospitals 400 985 285 75 Children s Healthcare of Atlanta - Scottish Rite* 85 278 78 Children s Healthcare of Atlanta - Egleston* 78 20 85 Riverwoods Psychiatric Center Southern Regional Medical Center 75 For an up to date listing of providers please check our web site at www.chcga.com Georgia HMO As of 01/06 *Part of Southern Regional Health System ASO for lower copay
Participating Hospitals APPLING BUTTS CLAYTON DEKALB EMANUEL Appling Healthcare System 163 E Tollison St Baxley, GA 31513 (912) 367-9841 BARROW Barrow Community Hospital 316 N Broad St Winder, GA 30680 (770) 867-3400 BARTOW Cartersville Medical Center 960 Joe Frank Harris Pkwy SE P.O. Box 200008 Cartersville, GA 30120 (770) 382-1530 BIBB Medical Center of Central Georgia (478) 633-1000 BLECKLEY Bleckley Memorial Hospital 145 E Peacock St Cochran, GA 31014 (912) 934-6211 BULLOCH East Georgia Regional Med Ctr 1499 Fair Rd Statesboro, GA 30458 (912) 486-1000 BURKE Burke Medical Center 351 S Liberty St Waynesboro, GA 30830 (706) 554-4435 Sylvan Grove Hospital 1050 McDonough Rd Jackson, GA 30233 (770) 775-7861 CANDLER Candler County Hospital 400 Cedar St Metter, GA 30439 (912) 685-5741 CARROLL Tanner Medical Center 705 Dixie St (770) 836-9666 Tanner Medical Ctr-Villa Rica 601 Dallas Hwy Villa Rica, GA 30180 (770) 456-3100 CHATHAM Candler Hospital 5353 Reynolds St (912) 819-6000 St. Joseph's/Candler Hlth Syst 11705 Mercy Blvd Savannah, GA 31419 (912) 819-4100 CHEROKEE Northside Hospital - Cherokee 201 Hospital Rd (770) 720-5100 CLARKE St. Mary's Health Care System 1230 Baxter St (706) 389-3000 Anchor Hospital 5454 Yorktowne Dr Atlanta, GA 30349 (770) 991-6044 Riverwoods Psychiatric Center 11 Upper Riverdale Rd SW (770) 991-8500 Southern Crescent Hospital for Specialty Care 11 Upper Riverdale Rd SW 6th Floor (770) 897-7600 Southern Regional Medical Center 11 Upper Riverdale Rd SW (770) 991-8000 COBB Emory-Adventist Hospital 3949 S Cobb Dr SE Smyrna, GA 30080 (770) 436-3162 Ridgeview Institute 3995 S Cobb Dr SE Smyrna, GA 30080 (770) 434-4567 WellStar Cobb Hospital 3950 Austell Rd (770) 732-4000 WellStar Kennestone Hospital 677 Church St (770) 793-5000 WellStar Windy Hill Hospital 2540 Windy Hill Rd SE Marietta, GA 30067 (770) 644-1000 COWETA Newnan Hospital-West 60 Hospital Rd Newnan, GA 30263 (770) 253-1912 Children's Healthcare of Atlanta at Egleston 1405 Clifton Rd (404) 785-6000 Decatur Hospital 450 N Candler St Decatur, GA 30030 (404) 501-6700 DeKalb Medical Center 2701 N Decatur Rd (404) 501-5200 DeKalb Medical Center - Hillandale 2801 Dekalb Medical Pkwy Lithonia, GA 30058 (404) 501-8100 Emory University Hospital 1364 Clifton Rd (404) 712-2000 Peachford Behavioral Hlth Syst 2151 Peachford Rd Atlanta, GA 30338 (770) 455-3200 DODGE Dodge County Hospital 901 Griffin Ave Eastman, GA 31023 (478) 448-4000 DOUGLAS Inner Harbour Hospitals 4685 Dorsett Shoals Rd Douglasville, GA 30135 (770) 942-2391 WellStar Douglas Hospital 8954 Hospital Dr Frnt (770) 949-1500 EFFINGHAM Effingham Hospital 459 Ga Highway 119 S Springfield, GA 31329 (912) 754-6451 Emanuel County Hospital 117 Kite Rd Swainsboro, GA 30401 (478) 289-1100 EVANS Evans Memorial Hospital 200 N River St Claxton, GA 30417 (912) 739-5000 FAYETTE Piedmont Fayette Hospital 1255 Hwy 54, W (770) 719-7070 FLOYD Floyd Medical Center 304 Turner McCall Blvd SW (706) 509-6900 Redmond Regional Medical Ctr 501 Redmond Rd NW (706) 291-0291 The Specialty Hospital 304 Turner McCall Blvd SW (706) 509-4100 FORSYTH Northside Hospital Forsyth 1200 Baptist Medical Center Dr (770) 844-3200 FULTON Atlanta Medical Center 303 Parkway Dr (404) 265-4000 Children's Healthcare Atlanta 1001 Johnson Ferry Rd (404) 256-5252 8
Participating Hospitals Participating Hospitals Crawford Long Hosp Emory Univ 550 Peachtree St (404) 686-4411 Emory Johns Creek Hospital 6325 W Johns Xing (678) 474-7000 Grady Memorial Hospital 80 Butler Street SE North Fulton Regional Hospital 3000 Hospital Blvd (770) 751-2500 Northside Hospital 1000 Johnson Ferry Rd (404) 851-8000 Piedmont Hospital 1968 Peachtree Rd NW (404) 605-3059 Saint Joseph's Hosp of Atlanta 5665 Peachtree Dunwoody Rd (404) 851-7001 Shepherd Center 2020 Peachtree Rd NW (404) 352-2020 South Fulton Medical Center 1170 Cleveland Ave Atlanta, GA 30344 (404) 466-1105 GILMER North Georgia Medical Center 1362 S Main St Ellijay, GA 30540 (706) 276-4741 GLYNN Focus Healthcare of Georgia, LLC 2927 Demere Rd Saint Simons Island, GA 31522 (912) 638-1999 GORDON Gordon Hospital 1035 Red Bud Rd Calhoun, GA 30701 (706) 629-2895 GREE Minnie G Boswell Mem Hospital 1201 Siloam Rd Greensboro, GA 30642 (706) 453-7331 GWINTT Emory Eastside Medical Center 1700 Medical Way (770) 979-0200 Gwinnett Hospital System 1000 Medical Center Blvd (770) 995-4321 Joan Glancy Memorial Hospital 3215 McClure Bridge Rd (678) 584-6800 HALL Laurelwood Hospital 200 Wisteria Dr (770) 531-3800 Northeast Georgia Medical Center-Lanier Park Campus 675 White Sulphur Rd (678) 343-4000 Northeast Georgia Medical Ctr 743 Spring St (770) 535-3553 HARALSON TMC/Higgins General Hospital 200 Allen Memorial Dr Bremen, GA 30110 (770) 537-5851 HENRY Henry Medical Center 1133 Eagles Landing Pkwy (678) 604-1000 HOUSTON Houston Medical Center 1601 Watson Blvd Warner Robins, GA 31093 (912) 922-4281 Perry Hospital 1120 Morningside Dr Perry, GA 31069 (478) 987-3600 JACKSON BJC Medical Center 70 Medical Center Dr Commerce, GA 30529 (706) 335-1000 JASPER Jasper Memorial Hospital 898 College St Monticello, GA 31064 (706) 468-6411 LIBERTY Liberty Regional Medical Ctr 462 E G Parkway Hinesville, GA 31313 (912) 369-9400 LOWNDES South Georgia Medical Center 2501 N Patterson St Valdosta, GA 31602 (229) 333-1020 LUMPKIN Chestatee Regional Hospital 227 Mountain Dr Dahlonega, GA 30533 (706) 864-6136 MERIWETHER Warm Springs Medical Center 5995 Spring St Warm Springs, GA 31830 (706) 655-3331 MONROE Monroe County Hospital 88 Martin Luther King Jr Dr Forsyth, GA 31029 (912) 994-2521 MORGAN Morgan Memorial Hospital Canterbury Park Madison, GA 30650 (706) 342-1667 MUSCOGEE St. Francis Hospital, Inc 2122 Manchester Expy (706) 596-4000 The Medical Center 710 Center St Columbus, GA 31901 (706) 571-1000 WTON Newton Medical Center 5126 Hospital Dr Covington, GA 30014 (770) 786-7053 PAULDING WellStar Paulding Hospital 600 W Memorial Dr Dallas, GA 30132 (770) 445-4411 PEACH Peach Regional Medical Center 601 N Camellia Blvd Fort Valley, GA 31030 (478) 825-4444 PICKENS Piedmont Mountainside Hospital, Inc 1266 Highway 515 S Jasper, GA 30143 (706) 692-2441 POLK Polk Medical Center 424 N Main St Cedartown, GA 30125 (770) 748-2500 RICHMOND Doctors Hospital 3651 Wheeler Rd (706) 651-3232 Medical Clg of Georgia Hosp (706) 721-2273 St. Joseph Hospital 2260 Wrightsboro Rd Augusta, GA 30904 (706) 481-7000 University Health Care System 1350 Walton Way (706) 722-9011 ROCKDALE Rockdale Hospital & Hlth Syst 1412 Milstead Ave Conyers, GA 30012 (770) 918-3000 SCREVEN Screven County Hospital 215 Mims Rd Sylvania, GA 30467 (912) 564-7426 SPALDING Spalding Regional Hospital 601 S 8th St (770) 229-6466 TATTNALL Tattnall Memorial Hospital Route 1 Reidsville, GA 30453 (912) 557-1000 TOOMBS Meadows Regional Medical Ctr 1703 Meadows Ln Vidalia, GA 30474 (912) 537-8921 9
Participating Hospitals Participating Hospitals WALTON Walton Medical Center 330 Alcovy St Monroe, GA 30655 (770) 267-8461 WARE Satilla Regional Medical Ctr 410 Darling Ave Waycross, GA 31501 (912) 283-3030 WAY Wayne Memorial Hospital 865 S 1st St Jesup, GA 31545 (912) 427-6811 10
Urgent Care Centers BIBB Med Center - East 1339 Gray Hwy Macon, GA 31211 (478) 749-9200 Med Center - North 3400 Riverside Dr Macon, GA 31210 (478) 474-5600 Med Center - West 711 Eisenhower Pkwy Macon, GA 31206 (478) 474-6900 Med Center-Northwest 5925 Zebulon Rd Macon, GA 31210 (478) 757-7965 Pediatrics After Hours 3400 Riverside Dr Macon, GA 31210 (706) 660-2695 CHATHAM Concentra Urgent Care 109 Minis Ave Suite C-10 Savannah, GA 31408 (912) 966-5445 Georgia Emergency Associates Immediate Care Center 361 Commercial Dr Savannah, GA 31406 (912) 691-1533 CHATTOOGA Floyd Urgent Care 11766 Highway 27 Summerville, GA 30747 (706) 857-1010 CHEROKEE Immediate MedCare of Woodstock 12926 Highway 92 0 Woodstock, GA 30188 (770) 771-5600 Physicians' Immediate Med of Canton PC 720 Transit Ave (770) 720-7000 WellStar Urgent Care at Towne Lake, LLC 120 Stonebridge Pkwy (678) 494-2500 CLAYTON Children's Healthcare of Atlanta at Mount Zion 2201 Mount Zion Pkwy Morrow, GA 30260 (404) 785-8660 COBB Children's Healthcare of Atlanta at Town Center 2985 George Busbee Pkwy NW Kennesaw, GA 30144 (404) 785-8010 Concentra Urgent Care 220 Cobb Pkwy N Ste 400 Marietta, GA 30062 (770) 424-7125 Physicians' Immediate Med 2481 George Busbee Pky Kennesaw, GA 30144 (770) 423-0000 WellStar Urgent Care in Kennesaw, LLC 3805 Cherokee St NW Kennesaw, GA 30144 (770) 426-5665 WellStar Urgent Care on Delk Road, LLC 2890 Delk Rd SE Marietta, GA 30067 (770) 955-8620 WellStar Urgent Care on Sandy Plains Road, LLC 3600 Sandy Plains Rd Marietta, GA 30066 (770) 977-4547 COLUMBIA University Hospital Prompt Care Columbia County 447 N Belair Rd Evans, GA 30809 (706) 854-2222 COWETA Summit Healthplex 1755 Highway 34 E Newnan, GA 30265 (770) 502-2121 DAWSON Physicians' Immediate Med of Dawsonville, P.C. 91 Nordson Overlook Dawsonville, GA 30534 (706) 216-6000 DEKALB Community Care, PC 5019 Lavista Rd (404) 501-3270 Emory Student Health Center 2711 Irvin Way Suite 111 Decatur, GA 30030 (404) 712-7041 Hillandale Minor Emergency Center 5910 Hillandale Dr Suite 103 Lithonia, GA 30058 (770) 981-2443 ICCS dba Toco Hills Urgent Care 3019 N Druid Hills Rd Atlanta, GA 30329 (404) 325-2100 DOUGLAS Physicians' Immediate Med of Douglasville PC 9390 The Landing Dr Douglasville, GA 30135 (770) 947-1112 TMC Immediate Care, Inc. 9280 Highway 5 Ste E (770) 949-7500 EFFINGHAM Effingham Hospital MedCare 100 Goshen Rd Rincon, GA 31326 (912) 826-6000 FANNIN Immediate Medcare of Riverstone, LLC 101 Riverstone Vis Ste 106 Blue Ridge, GA 30513 (706) 258-4400 FLOYD Floyd Urgent Care 304 Shorter Ave NW (706) 291-3700 FULTON Children's Healthcare of Atlanta at North Point 3795 Mansell Rd Alpharetta, GA 30022 (404) 785-8540 Concentra Urgent Care 3580 Atlanta Ave Atlanta, GA 30354 (404) 768-3351 Physicians' Immediate Med 10905 Haynes Bridge Rd Alpharetta, GA 30022 (770) 505-3000 U.S. Healthworks Medical Group of Georgia, PC 900 Holcomb Bridge Rd (770) 998-0605 GWINTT Children's Healthcare of Atlanta at Satellite Blvd 2660 Satellite Blvd (404) 785-8330 Concentra Urgent Care 1905 Beaver Ruin Rd Ste 175 Norcross, GA 30071 (770) 441-0444 Physicians' Immediate Med 3551 Satellite Blvd (770) 476-3000 Physicians' Immediate Med of Buford, P.C. 3425 Buford Dr Buford, GA 30519 (678) 546-0200 11
Urgent Care Centers Urgent Care Centers Premier Immediate Care of Georgia, PC 2696 Lawrenceville Suwanee Rd (678) 376-1300 HALL Guilford Immediate Care 1250 Jesse Jewell Pkwy SE Suite 400 (770) 532-0800 Urgent Care Friendship 4889 Golden Pkwy Buford, GA 30518 (678) 714-3217 HENRY Brightpoint Urgent Care, LLC 1365 Rock Quarry Rd (770) 692-5910 Minor Emergency Care 101 Regency Park Dr Mcdonough, GA 30253 (770) 957-0035 Spalding Regional Urgent Care Center at Heron Bay L.L.C. 3334 Highway 155 Locust Grove, GA 30248 (678) 583-0241 Pediatrics After Hours 705 17th St Columbus, GA 31901 (706) 660-2695 Regional Urgent Care 1800 10th Ave Ste F Columbus, GA 31901 (706) 320-8686 PAULDING Physicians' Immediate Med of Hiram PC 3827 Jimmy Lee Smith Pkwy Hiram, GA 30141 (770) 222-8900 POLK Floyd Urgent Care 1025 N Main St Cedartown, GA 30125 (770) 748-0076 HOUSTON Houston Lake Med-Stop 2510 Hwy 127 Kathleen, GA 31047 (478) 988-1865 Pavillion Med-Stop 233 N Houston Rd Warner Robins, GA 31093 (478) 923-2843 LOWNDES Convenient Care - Valdosta 2330 N Ashley St Valdosta, GA 31602 (229) 249-5080 MUSCOGEE Acute Care Express 7901 Veterans Pkwy Columbus, GA 31909 (706) 321-1223 12
Ancillary Providers APPLING BARROW Ancillary Hospice Rehabilitation Therapy Facility Dialysis Center Durable Medical Equipment Certified Respiratory Services, Inc. 88 Heritage St Baxley, GA 31513 (912) 366-9226 BALDWIN Dialysis Center Milledgeville Dialysis 400 S Wayne St Milledgeville, GA 31061 (478) 453-9489 Durable Medical Equipment Georgia Medical Equipment and Respiratory Services, Inc. 1891 N Columbia St Suite 109 Milledgeville, GA 31061 (478) 451-5185 Medical Imaging A Diagnostic Radiology Network Facility 1850 N Columbia St Suite 3 Milledgeville, GA 31061 (800) 953-5510 Physical Therapy Serenity Wellness Spa 107 Sportsman Club Rd Milledgeville, GA 31061 (478) 453-0041 BANKS Dialysis Center Fresenius Medical Care River City 2443 brookstone court ste B (706) 327-6350 Dialysis Center Barrow County Dialysis Center 189 W Athens St Ste 9 Winder, GA 30680 (770) 868-8517 Physical, Speech, Occup Therapy Physiotherapy Associates 137 N Broad St Ste E Winder, GA 30680 (770) 307-3922 Radiology Barrow Community Hospital 316 E Broad St P O Box 688 Winder, GA 30680 (770) 307-5280 Sleep Disorders Preferred Diagnostic Sleep Centers, Inc. Barrow Medical Ctr 316 N Broad St (Hwy 81) Winder, GA 30680 (770) 761-8468 BARTOW Ambulatory Surgery Center Center for Orthopedic Surgery 15 Medical Dr Cartersville, GA 30121 (770) 386-5221 Georgia Pain Spine Center 15 Medical Dr Ste 302 Cartersville, GA 30121 (678) 741-2115 American Wellness Diagnostics 31 Pointe North Dr Suite 105 Cartersville, GA 30120 (713) 840-0808 Dialysis Center BMA-Cartersville 14 Roving Rd Cartersville, GA 30121 (770) 386-8168 Durable Medical Equipment Apria Healthcare, Inc. 945 Joe Frank Harris Pkwy SE Cartersville, GA 30120 (770) 387-1075 Fuller Rehabilition Independent Living Aids- Cartersville 440 Cherokee Pl Cartersville, GA 30121 (770) 607-5292 Hanger Prosthetics & Orthotics, Inc. 17B Felton Pl Cartersville, GA 30120 (770) 387-7656 Phillips Medical Equipment, LLC 144 Kelli Clark Ct SE Cartersville, GA 30121 (678) 574-6313 Emergency Medicine Cartersville Emergency Physicians 960 Joe Frank Harris Pkwy SE Cartersville, GA 30120 (800) 532-6151 Home Health Agency Healthfield Home Health Inc 321 N Main St Adairsville, GA 30103 (770) 773-2779 In Home Health, Inc 319 E Church St Cartersville, GA 30120 (770) 382-0721 Occupational Therapy Hand Therapy Services 5 Medical Dr Cartersville, GA 30121 (706) 397-2809 Physical Therapy Rehab Associates 695 Henderson Dr Cartersville, GA 30120 (770) 386-6300 Physical, Speech, Occup Therapy BenchMark Physical Therapy 939 Joe Frank Harris Pkwy SE Cartersville, GA 30120 (770) 383-9734 Prosthetics/Orthotics Apria Healthcare, Inc. 945 Joe Frank Harris Pkwy SE Cartersville, GA 30120 (770) 387-1075 Hanger Prosthetics & Orthotics, Inc. 17B Felton Pl Cartersville, GA 30120 (770) 387-7656 Radiology Cartersville Diagnostic Center, LLC 21 Pointe North Dr Ste 105 Cartersville, GA 30120 (770) 383-8830 Reed Imaging Services LLC 15 Medical Dr Ste 102 Cartersville, GA 30121 (678) 605-9009 Advance Rehabilitation of Adairsville 10 Legacy Way Ste E Adairsville, GA 30103 (770) 773-9315 BEN HILL Prosthetics/Orthotics Southern Physical & Occupational Therapy Services Inc 112 N Main St P O Box 557 Fitzgerald, GA 31750 (229) 423-8403 BIBB Ambulatory Surgery Center Central Georgia Head & Neck Surgery Center 540 Hemlock St (478) 743-8953 Endoscopy Center of Middle Georgia, LLC 610 3rd St (478) 464-2600 Macon Outpatient Surgery, LLC 840 Pine St Ste 840 (478) 745-4206 Medical Eye Associates, Inc. 1429 Oglethorpe St (478) 743-7061 Ancillary Health Services of Central Georgia HB #230 (478) 633-7140 MedCross Imaging PC 1818 Forsyth St (478) 374-4305 BMA-Macon 280 Clinton St Macon, GA 31217 (478) 743-9506 Dialysis Center of Middle Georgia-Macon 747 2nd St (912) 742-4211 Dialysis Treatment Centers of Macon 745 Pine St (912) 741-9810 East Macon Dialysis 750 Baconsfield Dr Ste 103 Macon, GA 31211 (912) 755-1144 FMC Dialysis Services-South Macon 2500 2nd St Macon, GA 31206 (478) 743-1243 Renal Treatment Centers- Midtown Macon Dialysis Center 657 Hemlock St (912) 746-6855 Durable Medical Equipment Apria Healthcare, Inc. 182 Steven Dr Macon, GA 31210 (478) 757-8196 C.H. Martin 130 College St (478) 742-4331 ChiChesters Homecare Inc. 1042 Gray Hwy Macon, GA 31211 (478) 743-4557 DJO, LLC 291 Plantation Centre Dr N Suite 1907 Macon, GA 31210 (800) 321-9549 Lincare, Inc 770 Baconsfield Dr Bldg 1, Macon, GA 31211 (478) 841-2772 Mediquip Rehabilitative Equipment & Supplies 808 Pio Nono Ave Macon, GA 31204 (478) 742-1300 A member may seek services at any Ancillary Provider listed above under the direction of their Primary Care Physician(PCP) as required by their benefit plan. If PCP direction is required and the member seeks care without contacting their PCP, services may be denied. Please consult your Certificate of Coverage for full benefit information. Please visit us on the web at www.chcga.com 13
Ancillary Providers Bibb County Durable Medical Equipment Pediatric Services of America 770 Baconsfield Dr Bldg 1, Macon, GA 31211 (478) 841-2772 Pediatric Services of America, Inc 770 Baconsfield Dr Building 1, Ste. 100 Macon, GA 31211 (478) 841-2772 SleepMed Incorporated (478) 633-7222 SleepMed, Inc 770 Hemlock St (800) 846-2973 Southern Home Respiratory Care 466 Poplar St (478) 746-9760 Home Health Agency Central Georgia Home Care Services, Inc 3780 Eisenhower Pky Ste 5 Macon, GA 31206 (478) 633-5700 Pediatric Services of America, Inc 770 Baconsfield Dr Building 1, Ste. 100 Macon, GA 31211 (478) 841-2772 Physician Support Associates, Inc 1021 Daisy Pk (478) 746-0919 Laboratory Quest Diagnostics-Macon 446 Poplar St (478) 745-8576 Medical Imaging MedCross Imaging, PC 1818 Forsyth St (770) 507-2711 Physical, Speech, Occup Therapy Physiotherapy Associates 6501 Peake Rd Bldg 100 Macon, GA 31210 (478) 757-1667 Prosthetics/Orthotics Apria Healthcare, Inc. 182 Steven Dr Macon, GA 31210 (478) 757-8196 DJO, LLC 291 Plantation Centre Dr N Suite 1907 Macon, GA 31210 (800) 321-9549 Radiology Central Georgia MRI, LLC 5925 Zebulon Rd Macon, GA 31210 (478) 757-7877 Central Georgia PET, LLC 1650 Hardeman Ave (478) 749-9720 Children's Radiology of Atlanta 833 Walnut St (877) 442-2156 Open Macon Imaging Center 833 Walnut St (478) 741-4711 Open MRI of Macon 1504 Hardeman Ave (478) 745-3135 1650 Hardeman Ave (478) 745-3135 Open MRI of Macon, LLC 2140 Riverside Dr Macon, GA 31204 (478) 745-2777 Radiology Center of Macon, LLC 833 Walnut St (478) 745-2727 Sleep Disorders Sleep Services of America, Inc 215 Sheraton Blvd & B Macon, GA 31210 (478) 757-0759 SleepMed Incorporated (478) 633-7222 SleepMed Therapies, Inc 800 1st St SleepMed, Inc 770 Hemlock St (800) 846-2973 Southern Sleep Technologies 466 Poplar St (478) 746-9760 BRYAN Rehabilitation Therapy Facility West Rehab Services, Inc 9964 Ford Ave Richmond Hill, GA 31324 (912) 756-5699 West Rehab Services, Inc. 205 E Bacon St Pembroke, GA 31321 (912) 653-0040 BULLOCH Dialysis Center FMC of Bullouch County 1355 Brampton Ave Statesboro, GA 30458 (912) 871-2968 Renal Treatment Centers- East Georgia Dialysis 450 Georgia Ave Statesboro, GA 30458 (912) 871-6108 Durable Medical Equipment Apria Healthcare, Inc. 16 College Plz Statesboro, GA 30458 (912) 681-8208 Georgia Home Medical 606 S Zetterower Ave Statesboro, GA 30458 (912) 489-1180 Hanger Prosthetics & Orthotics East, Inc 144 Northside Dr E Statesboro, GA 30458 (912) 489-8411 Walker Home Medical 206 Northside Dr W Suite 1 Statesboro, GA 30458 (912) 681-3838 Home Health Agency Ogeechee Home Health Agency, Inc. 1525 Fair Rd Suite C Statesboro, GA 30458 (912) 764-6801 Orthotics Apria Healthcare, Inc. 16 College Plz Statesboro, GA 30458 (912) 681-8208 Physical Therapy Southern Wellness and Rehab 23630 B. Highway 80 East Statesboro, GA 30458 (912) 764-9951 Prosthetics/Orthotics Apria Healthcare, Inc. 16 College Plz Statesboro, GA 30458 (912) 681-8208 Radiology Statesboro Imaging Center, PC 8 Lester Rd Statesboro, GA 30458 (912) 764-5656 Rehabilitation Southern Sports Medicine & Rehabilitation 911 E Inman St Statesboro, GA 30458 (912) 764-1680 BURKE Diabetic Durable Medical Equipment University Home Health Services 77 US Highway 25 S Waynesboro, GA 30830 (706) 554-7013 Home Health Agency University Home Health Services 77 US Highway 25 S Waynesboro, GA 30830 (706) 554-7013 Physical, Speech, Occup Therapy University Home Health Services 77 US Highway 25 S Waynesboro, GA 30830 (706) 554-7013 BUTTS Dialysis Center Grovepark Dialysis 794 McDonough Rd Jackson, GA 30233 (770) 504-0365 Rehabilitation Therapy Facility HealthSouth Sports Medicine & Rehab. Center 464 W 3rd St Ste 107 Jackson, GA 30233 (770) 775-3991 CAEN Physical, Speech, Occup Therapy Advance for Kids, Inc 100 Lindsey Ln Kingsland, GA 31548 (912) 510-6104 Rehabilitation Therapy Facility Advance Rehabilitation of Kingsland 100 Lindsey Ln Kingsland, GA 31548 (912) 729-1333 Kingsland Physical Therapy 130 N Gross Rd Ste 202 Kingsland, GA 31548 (912) 882-5272 CANDLER Dialysis Center FMC Candler County Dialysis 380 Sconyers St Metter, GA 30439 (912) 685-7746 Rehabilitation Better Living Services, Inc 8 N Williams St Metter, GA 30439 (912) 685-4331 CARROLL Ambulatory Surgery Center Carrollton Eye Clinic Ambulatory Surgery Center 158 Clinic Ave (770) 834-1008 West Georgia Endoscopy Center 160 Clinic Ave (770) 214-2800 Ancillary Minor Emergency & Family Medicine 209 Cooley Dr Suite 101 Villa Rica, GA 30180 (770) 456-0911 Dialysis Center Bio-Medical Applications of Carrollton 195 Parkwood Cir (770) 832-1322 FMCNA Villa Rica 130 Prospecter Dr Facility # 3846 Villa Rica, GA 30180 (770) 459-7135 Fresenius Medical Care- Carroll County 157 Clinic Ave Ste 102 (770) 832-2202 A member may seek services at any Ancillary Provider listed above under the direction of their Primary Care Physician(PCP) as required by their benefit plan. If PCP direction is required and the member seeks care without contacting their PCP, services may be denied. Please consult your Certificate of Coverage for full benefit information. Please visit us on the web at www.chcga.com 14
Ancillary Providers Chatham County Home IV Infusion Agency Home Health Agency Tanner Medical Center Home Health, Inc. 100 Professional Pl Ste 303 (770) 834-5438 Hospice Tanner Medical Center Hospice Care, Inc. 122 Lee St (770) 214-2355 Physical Therapy Accel Physical Therapy 2000 Mirror Lake Blvd Ste F, Box 160 Villa Rica, GA 30180 (770) 456-7877 Physical, Speech, Occup Therapy Physiotherapy Associates 100 Professional Pl Ste 108 (770) 834-5034 Southern Therapy Service 812 S Park St (770) 834-7436 Southern Therapy Services 690 Dallas Hwy Ste 203 Villa Rica, GA 30180 (770) 832-2484 Southern Therapy Services, Inc 99 Doctors Dr (770) 834-7436 Prosthetics/Orthotics American Prosthetics Inc 1004 Bankhead Hwy Ste 14 (770) 388-0239 Atlanta Prosthetics & Orthotics, Inc. 1124 N Park St Suite D (770) 214-8282 Radiology Children's Radiology of Atlanta 805 Dixie St (770) 442-2155 Open Carrollton Imaging Center 805 Dixie St (770) 214-3579 Rehabilitation Therapy Facility Matrix Rehabilitation- Georgia, Inc 1004 Bankhead Hwy Bldg A Ste 5 (770) 834-5609 Skilled Nursing Facility IHS at Carrollton Nursing & Rehabilitation Center 2327 N Highway 27 (770) 834-4404 IHS at Pine Knoll Nursing & Rehabilitation Center 156 Pine Knoll Dr (770) 832-8243 CATOOSA Durable Medical Equipment American Home Patient 435 Cloud Springs Rd Rossville, GA 30741 (706) 861-0903 American Homepatient 435 Cloud Springs Rd Rossville, GA 30741 (229) 257-0075 Fuller Rehabilition Independent Living Aids 529 Rollins Industrial Blvd Ringgold, GA 30736 (706) 965-4430 Oxygen & More 11 S Commerce Dr Ringgold, GA 30736 (706) 861-1766 Physical, Speech, Occup Therapy BenchMark Physical Therapy-Fort Oglethorpe 1394 Battlefield Pkwy Fort Oglethorpe, GA 30742 (706) 858-0252 CHARLTON Rehabilitation Advance Rehabilitation of Folkston 1203 N 3rd St Folkston, GA 31537 (912) 496-7842 CHATHAM Ambulatory Surgery Center Endoscopy Center of Coastal Georgia 519 Stephenson Ave (912) 354-9447 ENT Surgical Center 13040 Abercorn St Ste 2 Savannah, GA 31419 (912) 920-6911 Georgia Center for Digestive Diseases, LLC 501 Eisenhower Dr Savannah, GA 31406 (912) 354-2175 Orthopedic Surgery Center 210 E De Renne Ave (912) 644-5343 Plastic Surgery Centerland 5361 Reynolds St (912) 355-8000 Savannah Outpatient Foot & Ankle Surgery Center 310 Eisenhower Dr Building 7B Savannah, GA 31406 (912) 356-8440 Savannah Pain Center, LLC 8 Wheeler St ste 200 (912) 352-4340 Schulze Surgery Center 728 E 67th St (912) 352-3120 Shankliln Plastic Surgery Center, LLC 900 Mohawk St Savannah, GA 31419 (912) 920-2090 The Endoscopy Center, LLC 1139 Lexington Ave Savannah, GA 31404 (912) 303-4200 Urology Surgery Center of Savannah, LLLP 230 E De Renne Ave (912) 790-4444 Ancillary Coastal Empire Imaging 529 Stephenson Ave Ste 5 (912) 354-4180 Audiology Coastal Audiology, Inc 138 Canal St Ste 108 Pooler, GA 31322 (912) 748-9494 Diabetic Durable Medical Equipment Savannah Diabetic Supplies 7025 Hodgson Memorial Dr Savannah, GA 31406 (866) 403-0800 Dialysis Center Bio-Medical Applications Coastal Dialysis Center 1460 E Victory Dr Savannah, GA 31404 (912) 232-2691 RAI Drayton Savannah 1020 Drayton St Savannah, GA 31401 (912) 233-6067 West Chatham Dialysis Center 343 Main St Savannah, GA 31408 (912) 965-0305 Durable Medical Equipment American Homepatient 7602 Waters Ave Savannah, GA 31406 (912) 353-7400 Apria Healthcare, Inc. 901 E 65th St (912) 352-4651 C.H. Martin 7135 Hodgson Memorial Dr Ste 1-B Savannah, GA 31406 (912) 352-1199 Coastal Home Respiratory 409 E Montgomery Xrd Ste 5A Savannah, GA 31406 (912) 925-5572 Fuller Rehabilition Independent Living Aids- Savannah 11706 Mercy Blvd Bldg 3 Savannah, GA 31419 (912) 961-9555 Medi Home Advantage 5353 Reynolds St Ste 107 (912) 443-6051 Medi Home Care 4131 Ogeechee Rd Ste 123 (912) 443-6051 7001 Chatham Center Dr Ste 2200 (912) 692-7400 Medical Infusion Technologies, Inc 115 Echols Ave Savannah, GA 31406 (912) 691-0333 Peachtree Medical Equipment 3326 Skidaway Rd Savannah, GA 31404 (912) 354-4522 Pediatric Services of America, Inc 37 W Fairmont Ave Unit 204 Savannah, GA 31406 (912) 961-1017 Renewal At Lewis Center/St Joseph/Candler Hosp 225 Candler Rd Ste 102 (912) 719-9900 Savannah Orthotics & Prosthetics, Inc. 906 E 68th St (912) 355-7778 Sleep Well, LLC 340 Hodgson Ct Bldg 200 Ste 2 Savannah, GA 31406 (912) 356-5786 Walker Home Medical 1100 Eisenhower Dr Suite 19 Savannah, GA 31406 (912) 681-3838 General Acute Care Hospital Sempercare Hospital of Savannah, Inc. 5353 Reynolds St (912) 819-7972 Hearing Aid, Sales & Repair Savannah Speech and Hearing Center 1206 E 66th St Savannah, GA 31404 (912) 355-4601 Home Health Agency American Homepatient 7602 Waters Ave Savannah, GA 31406 (912) 353-7400 Gentiva Health Services Inc 329 Commercial Dr Ste 130 Savannah, GA 31406 (912) 355-3409 Gentiva Health Services Savannah 329 Commercial Dr Suite 130 Savannah, GA 31406 (912) 355-3409 Healthcare Principals Group, LLC 138 Canal St Ste.207 Pooler, GA 31322 (912) 748-6580 Pediatric Services of America, Inc 37 W Fairmont Ave Unit 204 Savannah, GA 31406 (912) 961-1017 Secure Care, Inc. 351 Commercial Dr Savannah, GA 31406 (912) 356-5469 St. Joseph's Candler Home Healthcare 5510 Paulsen St (912) 819-7600 Home IV Infusion Agency American Homepatient 7602 Waters Ave Savannah, GA 31406 (912) 353-7400 A member may seek services at any Ancillary Provider listed above under the direction of their Primary Care Physician(PCP) as required by their benefit plan. If PCP direction is required and the member seeks care without contacting their PCP, services may be denied. Please consult your Certificate of Coverage for full benefit information. Please visit us on the web at www.chcga.com 15
Ancillary Providers Chatham County Home IV Infusion Agency Infusion Partners 1000 Business Center Dr Ste 120 (912) 232-1588 Medical Infusion Technologies, Inc 115 Echols Ave Savannah, GA 31406 (912) 691-0333 Venous Access Services, LLC 1 Johnston St Unit 6 (912) 354-9422 Hospice Hospice Savannah, Inc 1352 Eisenhower Dr Savannah, GA 31406 (912) 355-2289 Laboratory Quest Diagnostics - Savannah 340 Eisenhower Dr Ste 1480 Savannah, GA 31406 (912) 354-0664 Quest Diagnostics- Savannah 340 Eisenhower Dr Ste 1480 Savannah, GA 31406 (912) 354-0664 Quest Diagnostics- Savannah Medical District 815 E 68th St (912) 691-2208 Medical Imaging Boland Women's Imaging PC 1615 E Montgomery Xrd Savannah, GA 31406 (912) 352-2299 Occupational Therapy Pediatric Therapies of Savannah 6555 Abercorn St ste 221 (912) 354-4474 Physical, Speech, Occup Therapy Candler Hospital 5353 Reynolds St (912) 819-6000 Coastal Therapy, Inc. 911 E 70th St (912) 355-0123 St. Joseph's/Candler Hlth Syst 11705 Mercy Blvd Savannah, GA 31419 (912) 819-4100 Prosthetics/Orthotics Apria Healthcare, Inc. 901 E 65th St (912) 352-4651 Radiology Open MRI of Savannah 4815 Waters Ave Savannah, GA 31404 (912) 355-6736 PET Imaging Center of Savannah, LLC 7135 Hodgson Memorial Dr Ste 10A Savannah, GA 31406 (770) 692-2371 Radiology Associates of Savannah, PC 5105 Paulsen St Suite C140 (912) 355-8188 Savannah Chatham Imaging Services 11705 Mercy Blvd Savannah, GA 31419 (912) 303-0165 Rehabilitation Recovery Place 835 E 65th St (912) 355-1440 Rehabilitation Therapy Facility West Rehab Services Inc 1000 Towne Center Blvd Ste 602 Pooler, GA 31322 (912) 330-0155 West Rehab Services, Inc 109-C Minus Ave Savannah, GA 31408 (912) 964-6525 West Rehab Services, Inc. 100 Blue Fin Cir Ste 3 Savannah, GA 31410 (912) 897-1114 315 Eisenhower Dr Savannah, GA 31406 (912) 353-9378 Skilled Nursing Facility IHS at Savannah Beach Nursing & Rehabilitation Center 90 Van Horne Ave Tybee Island, GA 31328 (912) 786-4511 Riverview Health & Rehabilitation Center 6711 La Roche Ave Savannah, GA 31406 (912) 354-8225 Sleep Disorders SleepCare Institute, Inc 836 E 65th St Bldg 2 (912) 691-0031 The Sleep Disorders Center at St. Josephs Hospital 11706 Mercy Blvd Suiate 4 Savannah, GA 31419 (912) 927-5141 CHATTOOGA Dialysis Center Harbin Clinic Summerville Dialysis Center 12541 Highway 27 Summerville, GA 30747 (706) 857-4050 Rehabilitation Therapy Facility Advance Rehabilitation & Consulting, Inc 11638 Highway 27 Ste 1 Summerville, GA 30747 (706) 857-6366 CHEROKEE Ambulatory Surgery Center Woodstock Endoscopy Center, LLC 2001 Professional Way Ste 270 Woodstock, GA 30188 (404) 253-6870 Audiology Progressive Audiology Center, Inc. 2230 Towne Lake Pkwy Bldg 800, (770) 592-4744 Convenience Care Clinic MinuteClinic Diagnostic of Georgia, LLC 1600 Towne Lake Pkwy (866) 389-2727 3785 Sixes Rd (866) 389-2727 6120 Hickory Flat Hwy Canton, GA 30115 (866) 389-2727 Diagnostic Facility Atlantic Diagnostic Center, LLC 720 Transit Ave Suite 201 (770) 479-4847 Dialysis Center FMC Dialysis Services Woodstock 100 Londonderry Ct Woodstock, GA 30188 (770) 592-3439 RCC Northern Georgia 411 Hospital Rd (770) 479-0259 Woodstock Dialysis 2001 Professional Pky Woodstock, GA 30188 (678) 494-1171 Durable Medical Equipment BioKinetics, Inc 3013 High Vista Walk (770) 592-5706 DJO, LLC 1131 Etowah Valley Ln (800) 321-9549 Physiotherapy Associates 720 Transit Ave ste 102 (678) 880-2840 SleepMed Incorporated 2230 Towne Lake Pkwy Bldg 1000 (770) 516-5455 Occupational Therapy Towne Lake Hand Therapy, Inc. 2230 Towne Lake Pkwy Bldg. 600 Ste 110 (770) 852-7399 Physical Therapy Woodstock Physical Therapy & Joint Medicine, LLC 1816 Eagle Dr Bldg 100, (770) 516-9191 Physical, Speech, Occup Therapy BenchMark Physical Therapy 2230 Towne Lake Pkwy Bldg 1200, & 110 (770) 926-2744 Physiotherapy Associates 655 Molly Ln (770) 517-1080 Prosthetics/Orthotics DJO, LLC 1131 Etowah Valley Ln (800) 321-9549 Radiology Children's Radiology of Atlanta 2001 Professional Pky Ste 160 Woodstock, GA 30188 (770) 442-2155 Open Woodstock Imaging Center 2001 Professional Way Ste 160 Woodstock, GA 30188 (770) 395-8900 Quantum Radiology - Kennestone Towne Lake Imaging 120 Stonebridge Pkwy (678) 494-2440 Wellstar Kennestone Medical Imaging Center at Towne Lake 120 Stonebridge Pkwy (678) 494-2440 Woodstock Diagnostic Imaging 300 Parkbrooke Pl Ste 170 (678) 494-2345 Rehabilitation Therapy Facility HealthSouth Sports Medicine & Rehab. Center 230 Marietta Hwy Ste 120 (770) 720-7156 Skilled Nursing Facility IHS at Woodstock Nursing & Rehabilitation Center 105 Arnold Mill Rd Woodstock, GA 30188 (770) 926-0016 Sleep Disorders SleepMed Incorporated 2230 Towne Lake Pkwy Bldg 1000 (770) 516-5455 CLARKE Ambulatory Surgery Center American Eye Surgery Center 651 S Milledge Ave Athens, GA 30605 (706) 546-9290 Georgia Lithotripsy & Laser Center 120 Trinity Pl Athens, GA 30607 (706) 543-2718 Dialysis Center Dialysis Center of Athens 210 Hawthorne Park (706) 316-3790 Gambro Healthcare-Athens West 2047 Prince Ave (706) 546-0054 A member may seek services at any Ancillary Provider listed above under the direction of their Primary Care Physician(PCP) as required by their benefit plan. If PCP direction is required and the member seeks care without contacting their PCP, services may be denied. Please consult your Certificate of Coverage for full benefit information. Please visit us on the web at www.chcga.com 16
Ancillary Providers Clayton County Rehabilitation Therapy Facility RCG Clarke County 850 Prince Ave (706) 549-6885 Durable Medical Equipment Apria Healthcare, Inc. 5095 Jefferson Rd Athens, GA 30607 (706) 546-4477 Fuller Rehabilition Independent Living Aids- Athens 3190 Atlanta Hwy Suite 15-A (706) 549-3777 Hanger Prosthetics & Orthotics East, Inc. 698 S Milledge Ave Athens, GA 30605 (800) 895-5577 Hanger Prosthetics & Orthotics, Inc. 1075 Prince Ave (706) 369-1071 Home Medical Professional 191 Alps Rd ste 8 (706) 433-0715 Lincare, Inc 2440 W Broad St Ste 9 (706) 549-8968 Hospice Heartland Hospice Services 330 Research Dr Suite 130 Athens, GA 30605 (706) 369-0917 MRI Open MRI of Athens 845 Prince Ave (706) 549-1118 Physical Therapy East Athens Physical Therapy 665 Gaines School Rd Athens, GA 30605 (706) 369-8115 Horizon Physical Therapy and Rehabilitation, Inc. 2319 Prince Ave (706) 548-7300 Physical, Speech, Occup Therapy Physiotherapy Associates 788 Prince Ave ste C (706) 355-3035 Prosthetics/Orthotics Apria Healthcare, Inc. 5095 Jefferson Rd Athens, GA 30607 (706) 546-4477 Atlanta Prosthetics & Orthotics, Inc. 1000 Hawthorne Ave Suite L (706) 425-1819 Hanger Prosthetics & Orthotics, Inc. 1075 Prince Ave (706) 369-1071 Radiology Athens Diagnostic Center 1063 Baxter St (706) 316-3662 Open MRI of Athens 845 Prince Ave (706) 549-1118 Rehabilitation Therapy Facility HealthSouth Sports Medicine & Rehab. Center 1000 Hawthorne Ave Ste J (706) 548-3438 Skilled Nursing Facility Guardian Home Care of Central Georgia, LLC 435 Hawthorne Ave (706) 354-6073 Speech/Hearing Therapy ABC Pediatric Therapy Partners, Inc 1175 Oglethorpe Ave (706) 353-2211 CLAYTON Alcohol/Chemical Dependency Riverwoods Psychiatric Center 11 Upper Riverdale Rd SW (770) 991-8500 Anchor Hospital 5454 Yorktowne Dr Atlanta, GA 30349 (770) 991-6044 Ambulance Lifestar Response dba Care Ambulance 277 Southfield Pkwy Forest Park, GA 30297 (404) 629-1495 Ambulatory Surgery Center G.I. Endoscopy Center 6555 Professional Pl (770) 996-8830 Surgery Center At Mt. Zion 4000 Corporate Center Dr Morrow, GA 30260 (770) 960-2701 Akstein Eye Center 86 Upper Riverdale Rd (770) 996-4844 Atlanta South Endoscopy Center 34 Upper Riverdale Road Suite 201 (678) 904-9710 Clayton Cataract and Laser Surgery Center 1000 Corporate Center Dr Ste 180 Morrow, GA 30260 (770) 968-8888 Southern Crescent Endoscopy Center 7402 Davidson Pkwy S (770) 507-0909 Ancillary Concentra Urgent Care 1368 Southlake Plaza Dr Morrow, GA 30260 (678) 422-8824 4223 Moreland Ave Conley, GA 30288 (404) 366-2900 5044 Clark Howell Hwy Atlanta, GA 30349 (404) 765-2400 Dialysis Renal Care Group Clayton County 335 Upper Riverdale Rd -1 Jonesboro, GA 30236 (770) 907-9001 Dialysis Center Forest Park Dialysis 380 Forest Pkwy Forest Park, GA 30297 (404) 361-0646 Jonesboro Dialysis 129 King St Jonesboro, GA 30236 (770) 471-2381 Renal Treatment Centers- Jonesboro Dialysis 129 King St Jonesboro, GA 30236 (770) 471-2381 Southern Crescent Dialysis Center 275 Upper Riverdale Rd SW (770) 907-7022 Durable Medical Equipment American Homecare Supply, Georgia, Inc 4820 Clark Howell Hwy -4 Atlanta, GA 30349 (404) 669-0577 Hanger Prosthetics & Orthotics, Inc. 155 Medical Way (770) 997-3674 SleepMed, Inc 217 Arrowhead Blvd 3 Jonesboro, GA 30236 (800) 846-2973 Home Health Agency Southern Regional Home Care 11 Upper Riverdale Rd SW (770) 991-8662 Hospice Embracing Hospice Care of South Atlanta LLC 315 Arrowhead Blvd Jonesboro, GA 30236 (678) 961-2610 In Home Health, Inc. 1335 Lake Ridge Pkwy Riverdale, GA 30296 (770) 994-6569 Laboratory Quest Diagnostics - Riverdale 107 Upper Riverdale Rd SW (770) 991-2030 Quest Diagnostics-Riverdale 83 Upper Riverdale Rd Ste 120 (770) 991-2030 Physical Therapy Children's Healthcare of Atlanta at Mt. Zion 2201 Mount Zion Pkwy Morrow, GA 30260 (404) 785-8841 Excel Physical therapy 1883 McDonough Rd Bldg 200 Hampton, GA 30228 (678) 432-4621 Physical, Speech, Occup Therapy Morrow Physical Therapy 3000 Corporate Center Dr Ste 255 Morrow, GA 30260 (770) 968-9206 Physiotherapy Associates 1669 Phoenix Pkwy Ste 102 Atlanta, GA 30349 (770) 907-1023 335 Upper Riverdale Rd 10 Jonesboro, GA 30236 (770) 907-5743 541 Forest Pky Ste 14 Forest Park, GA 30297 (404) 361-3605 Rehab South Physical Therapy-Southside 150 Medical Way Ste E1 (770) 991-2747 Prosthetics/Orthotics Hanger Prosthetics & Orthotics, Inc. 155 Medical Way (770) 997-3674 Radiology Radiology Associates of Clayton 33 Upper Riverdale Rd SW Ste 105 (770) 991-9729 South Atlanta Radiology Associates, P.C. 119 Upper Riverdale Rd SW (770) 991-1010 Am-Med Medical Imaging 34 Upper Riverdale Road Suite 102 (770) 991-6001 Children's Radiology of Atlanta 237 Medical Way (770) 442-2155 Open MRI Centers of Georgia 6584 Professional Pl Suite D (770) 991-6001 Riverdale Radiology Center, LLC 237 Medical Way (770) 909-0488 Rehabilitation Therapy Facility Southern Regional Medical Center 11 Upper Riverdale Rd SW (770) 991-8000 Southern Regional Medical Center-Laboratory 11 Upper Riverdale Rd SW (770) 991-8000 Concentra Health Services 1368 Southlake Plaza Dr Morrow, GA 30260 (678) 422-8824 4223 Moreland Ave Conley, GA 30288 (770) 242-7744 5044 Clark Howell Hwy Atlanta, GA 30349 (404) 765-2400 A member may seek services at any Ancillary Provider listed above under the direction of their Primary Care Physician(PCP) as required by their benefit plan. If PCP direction is required and the member seeks care without contacting their PCP, services may be denied. Please consult your Certificate of Coverage for full benefit information. Please visit us on the web at www.chcga.com 17
Ancillary Providers Clayton County Rehabilitation Therapy Facility HealthSouth Sports Medicine & Rehab. Center 6319 A Jonesboro Rd Morrow, GA 30260 (770) 960-9575 HealthSouth Sports Medicine & Rehabilitation Ctr 275 Upper Riverdale Rd SW (770) 991-6755 Sleep Disorders Do You Snore, LLC 6555 Professional Pl (404) 892-0308 SleepMed, Inc 217 Arrowhead Blvd 3 Jonesboro, GA 30236 (800) 846-2973 The Sleep Disorders Centers of Southeastern Lung Care in South Atlanta 181 Upper Riverdale Rd SW Building A, Suite 2 (770) 994-3008 Speech/Hearing Therapy Children's Healthcare of Atlanta at Mt. Zion 2201 Mount Zion Pkwy Morrow, GA 30260 (404) 785-8841 COBB Alcohol/Chemical Dependency Ridgeview Institute 3995 S Cobb Dr SE Smyrna, GA 30080 (770) 434-4567 WellStar Windy Hill Hospital 2540 Windy Hill Rd SE Marietta, GA 30067 (770) 644-1000 Ambulatory Surgery Center Ambulatory Foot & Leg Surgical Center 1652 Mulkey Rd (770) 941-3633 Cobb Endoscopy Center, LLC 3969 S Cobb Dr SE Suite 207 Smyrna, GA 30080 (770) 432-5326 Cobb Foot & Leg Surgical Center 792 Church St Suite 401 (770) 422-9256 East West Surgery Center, LP 2041 Mesa Valley Way Ste 125 (678) 309-8100 GI Diagnostics Endoscopy Center, LLC 2550 Windy Hill Rd SE Ste 302 Marietta, GA 30067 (770) 226-9070 Marietta Eye Clinic DBA Marietta Eye Surgery 895 Canton Rd Bldg 200 Suite 300 (678) 784-0203 Marietta Surgical Center 780 Canton Rd (770) 422-1579 Northwest Georgia Orthopeadic Surgery Center 2550 Windy Hill Rd SE Ste 218 Marietta, GA 30067 (770) 953-8058 The Center for Spine Procedures, PC 335 Roselane St NW (770) 420-1420 Urology Associates Surgery Center, LLC 300 Tower Rd Suite 150 (678) 594-0070 Wellstar Kennestone Surgery Center-Outpatient 677 Church St (770) 793-5740 Westside Endoscopy Center 3825 Medical Park Dr (770) 941-4810 Ancillary Take Care Health Georgia, PC 5230 Dallas Hwy Powder Springs, GA 30127 (866) 825-3227 Audiology Children's Healthcare of Atlanta in Cobb 1371 Church Street Ext (770) 425-0752 Progressive Audiology Center, Inc 3960 Shallowford Rd Marietta, GA 30062 (770) 993-1728 Convenience Care Clinic MinuteClinic Diagnostic of Georgia, LLC 2014 Powers Ferry Rd SE Atlanta, GA 30339 (866) 389-2727 2994 Atlanta Rd SE Smyrna, GA 30080 (866) 389-2727 3070 N Main St NW Kennesaw, GA 30144 (866) 389-2727 3905 Due West Rd NW Marietta, GA 30064 (866) 389-2727 4200 Paces Ferry Rd SE Atlanta, GA 30339 (866) 389-2727 Take Care Health Georgia, PC 1762 Mars Hill Rd NW Acworth, GA 30101 (866) 825-3227 2464 Roswell Rd Marietta, GA 30062 (866) 825-3227 2779 Cobb Pkwy NW Kennesaw, GA 30152 (866) 825-3227 2988 Shallowford Rd Marietta, GA 30066 (866) 825-3227 4120 Austell Rd (866) 825-3227 Take Care Health Georiga, PC 2670 Cobb Pkwy SE Smyrna, GA 30080 (866) 825-3227 Diagnostic Facility A Diagnostic Radiology Network Facility 2501 Chastain Meadows Pkwy Marietta, GA 30066 (800) 953-5510 Atlantic Diagnostic Center, LLC 1620 Mulkey Rd (770) 794-5000 Cardiac CT Imaging Center at 55 Witcher Street 55 Whitcher St Suite 150 (678) 337-7000 Dialysis Center Bio-Medical Applications of South Cobb 3565 Austell Rd SW Ste 13 Marietta, GA 30008 (770) 432-0066 Cobb Nephrology Dialysis Center, Inc. 3865 Medical Park Dr (770) 732-8616 Fresenius Medical Care of North Cobb 1392 Bells Ferry Rd Marietta, GA 30066 (770) 528-3898 RCC Marietta 1277 Kennestone Cir Ste 600 Marietta, GA 30066 (770) 424-8391 Renal Care Group Smyrna 2700 Highlands Pkwy SE Smyrna, GA 30082 (678) 303-5064 Durable Medical Equipment Access Homecare Services, Inc 2211 New Market Pkwy SE Ste 156 Marietta, GA 30067 (678) 391-6900 Advanced Home Medical 1395 S Marietta Pkwy SE Bldg 100, Ste 106 Marietta, GA 30067 (770) 426-4310 American Homecare Supply, Georgia, Inc 2010 Cobb International Blvd NW Ste D Kennesaw, GA 30152 (770) 499-7717 Apria Healthcare, Inc. 2211 New Market Pkwy SE Ste 156 Marietta, GA 30067 (770) 818-1471 Byram Healthcare 220 Cobb Pkwy N Marietta, GA 30062 (877) 902-9726 C.H. Martin 472 N Sessions St NW (770) 499-1940 DJO, LLC 707 WHITLOCK AVE STE F3 Marietta, GA 30069 (800) 321-9549 Dynamic Orthotics & Prosthetics, Inc. 1900 The Exchange SE Suite 375 Atlanta, GA 30339 (770) 953-4877 Hanger Prosthetics & Orthotics, Inc. 124 Powers Ferry Rd SE Marietta, GA 30067 (770) 977-5462 Healthfield Inc 1395 S Marietta Pkwy SE Ste 910 Marietta, GA 30067 (770) 951-6100 Hi-Tech Healthcare, Inc 718 Cherokee St (770) 792-0030 Lincare, Inc 4451 Atlanta Rd SE Ste 106 Smyrna, GA 30080 (770) 435-0000 Pediatric Services of America, Inc 2217 Roswell Rd 100 Marietta, GA 30062 (770) 321-6600 Physiotherapy 4579 S Cobb Dr SE ste 100 Smyrna, GA 30080 (770) 436-3665 Source One Medical, Inc 2121 New Market Pkwy SE Suite 108 Marietta, GA 30067 (770) 818-0060 Vision Quest Industries, Inc. 4902 Lake Acworth Dr Acworth, GA 30101 (800) 266-2929 Wellstar Home Medical Equipment 805 Sandy Plains Rd Marietta, GA 30066 (770) 792-1625 Emergency Department Wellstar Cobb Hospital 3950 Austell Rd (770) 732-4000 Home Health Agency Coram Alternate Site Services, Inc. 2140 New Market Pkwy SE Suite 106 Marietta, GA 30067 (770) 952-3021 Healthfield Home Health Inc 1395 S Marietta Pkwy SE Ste 910 Marietta, GA 30067 (770) 951-6100 Matria Healthcare, Inc 1850 Parkway Pl SE Marietta, GA 30067 (770) 767-4600 Pediatric Services of America, Inc 2217 Roswell Rd 100 Marietta, GA 30062 (770) 321-6600 The Healthfield Group, Inc. 3350 Riverwood Pkwy SE Suite 1400 Atlanta, GA 30339 (770) 951-6100 Wellstar Home Health 805 Sandy Plains Rd Marietta, GA 30066 (770) 792-1616 Wellstar Private Homecare Services 805 Sandy Plains Rd Marietta, GA 30066 (770) 792-1620 Home IV Infusion Agency Lacey's Vital Care 790 Church St ste 170 (770) 424-3131 Pediatric Services of America, Inc 2217 Roswell Rd 100 Marietta, GA 30062 (770) 321-6600 Premier Healthcare Solutions, LLC 4451 Atlanta Rd SE Ste 136 Smyrna, GA 30080 (770) 803-1007 Hospice Healthfield Hospice Services Inc 1395 S Marietta Pkwy SE Ste 902 Marietta, GA 30067 (770) 951-6251 Heritage Hospice, Inc. 1290 Kennestone Cir 213 Marietta, GA 30066 (770) 423-5959 Wellstar Community Hospice 4040 Hospital West Dr (770) 732-6710 Laboratory Quest Diagnostics - Marietta 790 Church Street Ext (770) 424-2622 A member may seek services at any Ancillary Provider listed above under the direction of their Primary Care Physician(PCP) as required by their benefit plan. If PCP direction is required and the member seeks care without contacting their PCP, services may be denied. Please consult your Certificate of Coverage for full benefit information. Please visit us on the web at www.chcga.com 18