Financial Assistance Policy Provider Appendix

Financial Assistance Policy Provider Appendix

The following Piedmont practices are covered under Piedmont Healthcare's Financial Assistance Policy:

ARMC Community Care Clinic ARMC Hospitalist Group ARMC Neonatal Intensive Care ARMC Surgicalists Group Athens Adult & Pediatric Medicine Athens Regional Medical Center GME Athens Regional Physician Services Athens Regional Specialty Services Columbus Regional OB/GYN Columbus Regional Pediatrics CRMG Breast and Thoracic Surgery CRMG Critical Care CRMG Endocrine at Brookstone CRMG Surg Spec - Warm Springs CRMG Surgical Associates Fayette Wound and Hyperbaric Maternal Fetal Medicine PHI Cardiothoracic Vascular Surgery of Macon HCA PHI Snellville Eastside PHI Thoracic Surgeons Piedmont Anesthesia Piedmont Athens Piedmont Athens Hospitalist Physicians Piedmont Athens Orthopedics, Sports Medicine, & Trauma Piedmont Athens Physicians Endocrinology Piedmont Athens Physicians Endocrinology Piedmont Athens Physicians Gynecology Piedmont Athens Physicians Heart Piedmont Athens Physicians Midwifery Piedmont Athens Physicians Neurosurgery Piedmont Athens Physicians Orthopedics Trauma Piedmont Athens Physicians Pediatrics

Piedmont Athens Physicians Primary Care Piedmont Athens Physicians Psychiatry Piedmont Athens Physicians Surgery Piedmont Athens Physicians Wound Care Piedmont Athens Primary Care Oconee Health Campus Piedmont Athens Regional Wound/Hyperbaric Center Piedmont Athens Specialty Care LLC Piedmont Athens Surgical Breast Care Specialists Piedmont Athens Surgical Oncology Piedmont Athens Urgent Care Piedmont Atlanta Hospital Piedmont Augusta Piedmont Augusta Advanced Heart Failure Center Piedmont Augusta Anesthesia Piedmont Brain Tumor Center Piedmont Columbus Palliative Care Piedmont Columbus Regional Midtown Piedmont Eastside Medical Center Piedmont Eastside Rheumatology Piedmont Emergency Medicine Piedmont Healthcare Inc Piedmont Heart Piedmont Heart and Vascular Piedmont Heart at Augusta Piedmont Heart at Augusta - Bldg 5, Suite 5100 Piedmont Heart at Eastside Piedmont Heart at Summerville - Professional Center Piedmont Heart Cardiothoracic Vascular Surgery of Macon Piedmont Heart Institute Sharpsburg Piedmont Heart Institute Rockdale Piedmont Heart Institute Piedmont Heart Institute Austell

Updated January 2024

Financial Assistance Policy Provider Appendix

Piedmont Heart Institute Blairsville Piedmont Heart Institute Canton Piedmont Heart Institute CardioThoracic Surgeons Piedmont Heart Institute Ellijay Piedmont Heart Institute Interventional Cardiology Buckhead Piedmont Heart Institute Newnan Piedmont Heart Institute Perimeter Piedmont Heart Institute Phys Piedmont Heart Institute Roswell Piedmont Heart Institute Thoracic Surgery Piedmont Heart Institute Vascular Surgeons 2045 Piedmont Heart Institute Vein Care at Thomas Crossroads Piedmont Heart Institute Walton Piedmont Heart of Evans - Bldg. 4 Piedmont Heart of Fayetteville Piedmont Heart Rockdale Piedmont Heart Snellville Piedmont Heart Vascular Surgery at Augusta Piedmont Heart Vein Care at Peachtree Piedmont Henry Hospital Piedmont Hospitalist Physicians Piedmont Macon Medical Center Piedmont Macon North Hospital Piedmont Medical Care Corporation Piedmont Midtown Piedmont Midtown Columbus Piedmont Neurohospitalist Piedmont Newnan Hospital Piedmont Newton Hospital Piedmont Physician Interventional Pain Piedmont Physicians at Atlantic Station Piedmont Physicians at Bateman Drive Piedmont Physicians at Butler Creek Piedmont Physicians at Georgia Avenue Piedmont Physicians at Sharpsburg

Piedmont Physicians at Wellbrook Piedmont Physicians Athens GYN Oncology Piedmont Physicians Atlanta Surgical Oncology LPC Piedmont Physicians Behavioral Health Hospitalist Piedmont Physicians Breast Surgery Piedmont Physicians Colon and Rectal Surgery at Augusta Piedmont Physicians Critical Care at Augusta Piedmont Physicians Critical Care Medicine at Augusta Piedmont Physicians Critical Care Medicine at Augusta Piedmont Physicians East Ellijay Piedmont Physicians Endocrinology Piedmont Physicians Endocrinology at Washington Rd. Piedmont Physicians Endocrinology Fayette Piedmont Physicians ENT I Piedmont Physicians Gastroenterology Piedmont Physicians Gastroenterology at Augusta Piedmont Physicians Gastroenterology at Loganville Piedmont Physicians General Surgery of Snellville Piedmont Physicians General Surgery of Snellville HCA Piedmont Physicians Group Brookhaven Piedmont Physicians Group Camp Creek Piedmont Physicians Group Ellenwood Piedmont Physicians Group Towne Lake Piedmont Physicians Gynecologic Oncology Piedmont Physicians Hawthorne Medical of Athens Piedmont Physicians Intensivists Piedmont Physicians Internal Medicine Thomas Crossroads Piedmont Physicians Medical Oncology Piedmont Physicians Medical Oncology Lung Cancer Piedmont Physicians Medical Oncology-Kennesaw Piedmont Physicians Medical Oncology-Stockbridge Piedmont Physicians Neuro Oncology Piedmont Physicians Neuro Surgery Piedmont Physicians Neurology Piedmont Physicians Neurology - Henry

Updated January 2024

Financial Assistance Policy Provider Appendix

Piedmont Physicians Neurology of Macon Piedmont Physicians Newton Drive Internal Medicine Piedmont Physicians OBGYN Piedmont Physicians OBGYN Stockbridge Piedmont Physicians Obstetrics and Gynecology Columbus Piedmont Physicians Obstetrics and Gynecology Stockbridge Piedmont Physicians of Conyers Piedmont Physicians of Covington Piedmont Physicians of Evans - Bldg 1 Piedmont Physicians of Evans - Bldg 2 Piedmont Physicians of Hawthorne Medical Associates Piedmont Physicians of Heritage Piedmont Physicians of Jasper Piedmont Physicians of North Augusta Piedmont Physicians of Wellbrook Piedmont Physicians Ortho Trauma Athens Piedmont Physicians Orthopedic Surgery Jasper Piedmont Physicians Orthopedics and Sports Medicine Piedmont Physicians Palliative Care Piedmont Physicians Pediatrics Piedmont Physicians Premier Medical Piedmont Physicians Primary Care Piedmont Physicians Primary Care Loganville Piedmont Physicians Pulmonary & Sleep Medicine Piedmont Physicians Pulmonary & Sleep Medicine Fayette Piedmont Physicians Pulmonary & Sleep Medicine Newnan Piedmont Physicians Rheumatology Piedmont Physicians Rockdale Family Practice Piedmont Physicians Roswell Road IM Piedmont Physicians Sports and Spine Piedmont Physicians Sports and Spine Kennesaw Piedmont Physicians Surgical Oncology Piedmont Physicians Surgical Oncology Augusta Piedmont Physicians Surgical Specialists

Piedmont Physicians Surgical Specialists Monroe Piedmont Physicians Surgical Specialists Newnan Piedmont Physicians Surgical Specialists of Macon Piedmont Physicians Surgicalists Piedmont Physicians Thoracic Surgery Piedmont Physicians Urology Piedmont Physicians Urology of Macon Piedmont Physicians White Oak Piedmont Physicians Wound Care Piedmont Physicians Occupational Medicine Piedmont Professional Services Piedmont Pulmonary & Sleep Medicine Piedmont Transplant Institute Piedmont Walton Hospital PPG Athens GYN Oncology PPG Athens Rheumatology PPG Atlanta Brain and Spine Care PPG Endo Columbus PPG Gastroenterology at Cascade PPG Macon Anesthesia PPG Midwifery Clinic PPG Neurosurgery at Piedmont Healthcare Hospital PPG Oncology Newnan PPG PAH BH Atlanta PPG PCH BH Carterville PPG PHH BH Henry PPG PMM BH Hosp PPG Resource Medical 2200 Primary Care PPG Stockbridge Family Medicine PPG Surgical Pediatrics Regional Oncology Rockdale Medical Center Spring Harbor UMG - Augusta Cardiac & Thoracic Surgery UMG - Cardiovascular Associates UMG - General Surgery

Updated January 2024

Financial Assistance Policy Provider Appendix

UMG - Hospitalists/Internal Medicine UMG - Neurosurgery UMG - Primary Care - Silver Bluff UMG - Primary Care - Sweetwater UMG - Prompt Care - Aiken UMG - Prompt Care - Sweetwater UMG - Prompt Care-Evans UMG - University Orthopaedics Thomson UMG - Vascular Services UMG Endocrinology UMG Infectious Disease UMG -Internal Medicine Partners UMG Vascular, LLC

Updated January 2024

Financial Assistance Policy Provider Appendix

The following Piedmont practices are not covered under Piedmont Healthcare's Financial Assistance Policy:

24 ON Physicians 26 Foot and Ankle Aaron Hupman, MD Abraham Family & Geriatric Medicine Absolute Care Academy of Women's and Children's Health Accurate Neuromonitoring SE LLC Achilles Foot & Ankle Specialists ACS Primary Care Physicians Southeast PC Acute Surgical Care, LLC Acworth Primary Healthcare Adams Primary Care. PC Advanced Aesthetics Advanced Ear Nose and Throat Associates PC Advanced Gynecology Advanced Gynecology Specialists of Augusta Advanced Internal Medicine Advanced Pain Management, PC Advanced Spine and Pain Interventions Advanced Surgeons,, PC Advanced Urology Advanced Urology Institute of Georgia Advanced Women's Care Center Advanced Women's Care Cnter Affiliated Foot and Ankle Affiliated Foot and Ankle - Buckhead Affiliated Foot and Ankle - Duluth AGC Pediatrics Ahmed Family Practice AICA Orthopedics Aiken Surgical Associates Akstein Eye Center, PC

Alan D Glassman MD Alcovy Internal Medicine Alcovy Neurology Alex E Rikhter MD PC All For Kids Dental Group LLC All God's Children Pediatrics All Star Recruiting All Starr Pediatrics Allatoona Eye Clinic Allatoona Eye Institute Allen Dermatology and Skin Cancer Center Allen Dermatology and Skin Care Center Allergy & Asthma Specialists Allergy Asthma and Sinus Allergy Sinus & Cough Center of Georgia Allergy, Asthma & Arthritis Center of Athens Alliance Family Care Alliance Family Care, LLC Alliance Spine & Pain Centers LLC Alliance Spine & Pain Centers PC Alliance Spine and Pain Alliance Spine and Pain Centers Alpha Internal Medicine Atlanta PM&R Inc Amanu Physical Medicine and Rehabilitation Amcare Medical Clinic American Anesthesiology American Anesthesiology of Georgia American Anesthesiology of Georgia, LLC American Family Care American Foot & Leg Specialists AmplifyMD

Updated January 2024

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