PIEDMONT MOUNTAINSIDE HOSPITAL, INC (NPI# 1053371138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053371138 |
| Entity Type | Organization |
| Organization Name | PIEDMONT MOUNTAINSIDE HOSPITAL, INC |
| Other Organization Name | PIEDMONT MOUNTAINSIDE HOSPTIAL SWING BED UNIT |
| Practice Address |
1266 Highway 515 S Jasper GA 30143-4872 |
| Mailing Address |
1266 Highway 515 S Patient Financial Services Jasper GA 30143-4872 |
| Practice Telephone | 7063015269 |
| Practice Fax Number | 7066920939 |
| Mailing Telephone | 7063015269 |
| Mailing Fax Number | 7066920939 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2012-05-30 |
| Authorized Official Name | MR. ED LOVERN (CEO) |
| Authorized Official Telephone | 7063015269 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 112-619 | GA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00001493S | 05 |
| Other Name | Type Code |
|---|---|
| Piedmont Mountainside Hosptial Swing Bed Unit | Doing Business As Name - Organization |
| Street Address |
1266 HIGHWAY 515 S |
| City | JASPER |
| State | GA |
| Zip Code | 30143-4872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912993452 | Rosemarie Spillane | Anesthesiology | 1266 Highway 515 S, Jasper, GA 30143-4872 | 2005-09-20 |
| 1699290510 | Piedmont Specialty Hospital Billing | Clinic/Center | 1266 Highway 515 S, Jasper, GA 30143-4872 | 2017-08-11 |
| 1598116790 | Erin Flanagan | Physician Assistant | 1266 Highway 515 S, Jasper, GA 30143-4872 | 2016-06-29 |
| 1255796645 | James Wesley Conner | Nurse Anesthetist, Certified Registered | 1266 Highway 515 S, Jasper, GA 30143-4872 | 2015-12-29 |
| 1760737183 | Rachel Paige Stephens | Physician Assistant | 1266 Highway 515 S, Piedmont Mountainside Hospital Er, Jasper, GA 30143-4872 | 2012-07-23 |
| 1902178957 | Delores Rae Tucker | Clinical Nurse Specialist | 1266 Highway 515 S, Ims Hospitalists Dee Tucker, Jasper, GA 30143-4872 | 2012-02-07 |
| 1982732483 | Mohamed Elbasha | Emergency Medicine | 1266 Highway 515 S, Jasper, GA 30143-4872 | 2007-02-28 |
| 1346327152 | Mountainside Anesthesia Consultants LLC | Anesthesiology | 1266 Highway 515 S, Jasper, GA 30143-4872 | 2006-11-01 |
| 1497763163 | Christopher Larry Atkins | Family Medicine | 1266 Highway 515 S, Jasper, GA 30143-4872 | 2006-08-04 |
| 1386675866 | Susan L Medlock | Emergency Medicine | 1266 Highway 515 S, Jasper, GA 30143-4872 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
| 1598363434 | Amanda J Griggs | Massage Therapist | 54 Wolfscratch Village, Jasper, GA 30143 | 2020-10-13 |
| 1801397724 | Jema Day | Nurse Practitioner | 620 J L White Dr Ste 140, Jasper, GA 30143 | 2018-02-26 |
| 1023467545 | North Georgia Personal Care LLC | Home Health | 501 North Main St., Suite B, Jasper, GA 30143 | 2016-06-06 |
| 1871979641 | Sj & J Spine and Pain Group Holding LLC | Pain Medicine | 91 Sammy Mcghee Blvd, Suite 101, Jasper, GA 30143 | 2015-08-04 |
| 1801294293 | Highland Recovery Center | Community/Behavioral Health | 323 Roland Road, Jasper, GA 30143 | 2014-12-17 |
| 1770905861 | Leslie Rhea Hanagan | Speech-Language Pathologist | 22 Dogwood Lane, Jaser, GA 30143 | 2014-01-09 |
| 1669800660 | Pickens County Chiropractic | Chiropractor | 95 North Main Street, Jasper, GA 30143 | 2013-10-29 |
| 1407139264 | Rocky Mountain Holdings LLC | Ambulance | 70 Airport Business Court, Jasper, GA 30143 | 2011-09-27 |
| 1851681415 | Richard J Vandam | Internal Medicine | 1266 Highway 515, Piedmont Mountainside Hospital, Jasper, GA 30143 | 2011-04-15 |
| Find all providers in zip 30143 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750453155 | H.c. Healthcare, Inc. | Medicare Defined Swing Bed Unit | 506 4th St Nw, Jasper, FL 32052-6603 | 2006-11-14 |
| 1790758738 | Christus Health Southeast Texas | Medicare Defined Swing Bed Unit | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437536372 | University Mcduffie County Regional Medical Center, Inc | Medicare Defined Swing Bed Unit | 2460 Washington Road Ne, Thomson, GA 30824-2199 | 2015-04-29 |
| 1588093637 | Premier Healthcare Investments | Medicare Defined Swing Bed Unit | 509 Sumter, Montezuma, GA 31063 | 2013-11-08 |
| 1487817169 | Hosptial Authority of Liberty County | Medicare Defined Swing Bed Unit | 462 Elma G Miles Parkway, Hinesville, GA 31313-4000 | 2008-07-03 |
| 1023287927 | Union County Hospital Authority | Medicare Defined Swing Bed Unit | 35 Hospital Road, Blairsville, GA 30512 | 2008-02-25 |
| 1467663336 | Healthspan LLP | Medicare Defined Swing Bed Unit | 351 Liberty St, Waynesboro, GA 30830-9686 | 2007-05-24 |
| 1548475759 | Putnam General Hospital | Medicare Defined Swing Bed Unit | 101 Lake Oconee Parkway, Eatonton, GA 31024 | 2007-05-11 |
| 1548315898 | Tift Regional Health System, Inc | Medicare Defined Swing Bed Unit | 260 Mj Taylor Rd, Adel, GA 31620-3485 | 2007-01-25 |
| 1063578862 | Taylor Telfair Regional Hospital, Inc | Medicare Defined Swing Bed Unit | Route # 1 Highway 341 South, Mcrae, GA 31055-0150 | 2006-12-28 |
| 1710099098 | Charlton Memorial Hospital | Medicare Defined Swing Bed Unit | 2449 Third St, Folkston, GA 31537-8919 | 2006-08-31 |
| 1881652212 | Pacer Health Corporation of Ga | Medicare Defined Swing Bed Unit | 1201 Siloam Rd, Greensboro, GA 30642-2811 | 2006-05-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.