PIEDMONT MOUNTAINSIDE HOSPITAL, INC. (NPI# 1780643411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780643411 |
| Entity Type | Organization |
| Organization Name | PIEDMONT MOUNTAINSIDE HOSPITAL, INC. |
| Other Organization Name | PIEDMONT MOUNTAINSIDE HOSPITAL |
| 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 | 7066922441 |
| Mailing Fax Number | 7066920939 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2018-10-23 |
| Authorized Official Name | MR. ROBERT C CROSS (VP, GOVERNMENT REIMBURSEMENT) |
| Authorized Official Telephone | 4702713401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 112-619 | GA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00001493A | 05 |
| Other Name | Type Code |
|---|---|
| Piedmont Mountainside Hospital | 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588778518 | Little Company of Mary Hospital of Indiana Inc | General Acute Care Hospital | 800 W 9th Street, Jasper, IN 47546-2514 | 2006-08-18 |
| 1932553385 | Bbh Wbmc, LLC | General Acute Care Hospital | 3400 Highway 78 E, Jasper, AL 35501-8956 | 2016-04-21 |
| 1104997998 | Cleon S Nunnally | General Acute Care Hospital | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2006-11-13 |
| 1497843940 | Baptist Health System Inc | General Acute Care Hospital | 3400 Highway 78 E, Jasper, AL 35502-3543 | 2006-10-10 |
| 1184682874 | S P Acquisition Corp. | General Acute Care Hospital | 1000 Highway 28, Jasper, TN 37347-3638 | 2006-05-02 |
| 1003895947 | Little Company of Mary Hospital of Indiana, Inc | General Acute Care Hospital | 800 W 9th St, Jasper, IN 47546-2514 | 2006-01-10 |
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|---|---|---|---|---|
| 1902459316 | Au Medical Center, Inc | General Acute Care Hospital | 1348 Walton Way Ste 6300c, Augusta, GA 30901-5104 | 2019-07-24 |
| 1841651056 | Kamran Rajaee | General Acute Care Hospital | 5081 Sunset Trl, Marietta, GA 30068-4734 | 2016-03-15 |
| 1144687070 | Globale, LLC | General Acute Care Hospital | 750 Dalrymple Rd Apt B2, Atlanta, GA 30328-1434 | 2016-01-22 |
| 1649645011 | Clarence Waugh | General Acute Care Hospital | 171 Sterling Ridge Dr, Riverdale, GA 30274-4637 | 2015-12-09 |
| 1548632045 | Allbright Professional Blood Services | General Acute Care Hospital | 1043 River Forest Pt, Lawrenceville, GA 30045-2600 | 2015-10-22 |
| 1790173094 | Piedmont Healthcare | General Acute Care Hospital | 2124 Mckinley Rd Nw, Atlanta, GA 30318-1708 | 2015-01-08 |
| 1790183622 | Pauline L. Jacinto Md | General Acute Care Hospital | 104 Lakeshore Dr Ste B, Saint Marys, GA 31558-3809 | 2014-12-09 |
| 1073937892 | Emory University Hospital | General Acute Care Hospital | 5207 Peachtree Creek Cir, Atlanta, GA 30341-5364 | 2014-02-13 |
| 1063856706 | Keystone Surgical Associates | General Acute Care Hospital | 2525 Kirk Pointe Cv Nw, Kennesaw, GA 30152-6239 | 2013-04-24 |
| 1679810022 | Proficiency Scribes Cs, LLC | General Acute Care Hospital | 114 Bradley Rd, Jackson, GA 30233-3702 | 2013-01-04 |
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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.