MOUNTAIN MEDICAL SPECIALISTS PC NPI 1366504789

NPI Information

  • NPI: 1366504789
  • Provider Name: MOUNTAIN MEDICAL SPECIALISTS, PC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 207 ADAMS DR
    DEMOREST, GA
    ZIP 30535
  • Phone: (706) 754-5191

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NPI Details

MOUNTAIN MEDICAL SPECIALISTS, PC is an internal medicine in Demorest, GA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MOUNTAIN MEDICAL SPECIALISTS, PC NPI is 1366504789. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

207 ADAMS DR
DEMOREST, GA
ZIP 30535-501
Phone: (706) 754-5191
Fax: (706) 754-5191

The provider's authorized official is Sonya D Hix .
The authorized official title is Office Administrator and has the following contact phone number (706) 754-5191.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 3/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine26375GEORGIAYes
2207RS0010XInternal MedicineSports Medicine26375GEORGIANo
3363LF0000XNurse PractitionerFamilyRN124242GEORGIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000300605DMEDICAIDGEORGIA
2110104731OTHERGEORGIARAILROAD MEDICARE
3D42109OTHERGEORGIASANDERS UPIN NUMBER
4194840OTHERGEORGIAWELLCARE VENDOR NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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