OrganizationActive
Mountainside Pediatrics
NPI 1710267505 · Primary Care Clinic/Center · Jasper, GA
Mountainside Pediatrics is a Primary Care Clinic/Center organization in Jasper, GA (NPI 1710267505).
Provider details
- NPI number
- 1710267505
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Khawaja Mahmood, Sole Proprietor(706) 253-9898
- License
- 42648 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12 Sammy Mcghee Blvd
Suite 102
Jasper, GA 30143-7711
Phone: (706) 253-9898
Fax: (706) 253-9896
Street-level locationGet directions
Mailing address
12 Sammy Mcghee Boulavard
Jasper, GA 30143-7711
Registry dates
- Enumerated
- 2011-08-24
- Last updated
- 2011-08-24
Frequently asked questions
- What is Mountainside Pediatrics's NPI number?
- Mountainside Pediatrics's National Provider Identifier (NPI) is 1710267505, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountainside Pediatrics?
- Mountainside Pediatrics is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mountainside Pediatrics located?
- Mountainside Pediatrics's practice location on file with NPPES is 12 Sammy Mcghee Blvd, Jasper, GA 30143-7711.
- What is Mountainside Pediatrics's phone number?
- The practice phone number listed in the NPPES registry for Mountainside Pediatrics is (706) 253-9898.
- Who is the authorized official for Mountainside Pediatrics?
- The authorized official listed on Mountainside Pediatrics's NPPES record is Khawaja Mahmood, Sole Proprietor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountainside Pediatrics's NPI active?
- Yes — Mountainside Pediatrics's NPI (1710267505) is active in the NPPES registry as of the last update on 2011-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.