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Cumming · Canton · Baldwin · Gainesville
Cumming · Canton · Baldwin
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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.

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Insurance Plans

windermere medical group accepted 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 accepted - Aetna, Cigna, Cigna Open Access, First Health Network PHCS

ALL HMO plans: PCP should be listed as our provider

Exchange Plans

windermere medical group accepted insurance 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

windermere medical group accepted insurance medicare advantage plans
  • (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)

windermere medical group accepted insurance medicare managed care plans
  • Amerigroup Community Care (All Plans)
  • CareSource (All Plans)
  • Peach Care for Kids (All Plans)
  • Peach State (All Plans including AmBetter)

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Copyright © 2023 | Windermere Medical

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