GEORGIA MOUNTAIN ENDOCRINOLOGY CORPORATION
NPI 1508188558
Internal Medicine - Endocrinology, Diabetes & Metabolism in Canton, GA

Q: What is Georgia Mountain Endocrinology Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since February 18, 2010CLIA 11D2003625 · Waiver

120 OAKSIDE CT, SUITE H, CANTON, GA 30114(404) 556-9696 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Georgia Mountain Endocrinology Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGIA MOUNTAIN ENDOCRINOLOGY CORPORATION (NPI 1508188558) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Canton, Georgia and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through February 15, 2028 and lists Jason Berner, President, as its authorized official.

NPPES Registry Identity

NPI1508188558

Entity TypeOrganization

Primary Taxonomy207RE0101X

Legal Business NameGEORGIA MOUNTAIN ENDOCRINOLOGY CORPORATION

Location Address120 OAKSIDE CT, SUITE HCanton, GA 30114-2471

Mailing Address120 Oakside Ct, Suite HCanton, GA 30114-2471 · (404) 556-9696

Phone(404) 556-9696

Organization SubpartNo

Authorized OfficialJason BernerPresident · (404) 556-9696

Enumeration DateFebruary 18, 2010

✔ NPI 1508188558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in GA · 048322

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

120 OAKSIDE CT, Canton, GA 30114

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Other Identifiers 1

Medicare UPINH89461GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2003625

Georgia Mountain Endocrinology Corporation · Canton, GA

Active · expires Feb 15, 2028

CLIA Number11D2003625

Laboratory TypePhysician Office

Certificate Effective DateFebruary 16, 2026

Certificate Expiration DateFebruary 15, 2028

Laboratory DirectorJason A. Berner

Laboratory Phone(770) 722-6222

Laboratory LocationGeorgia Mountain Endocrinology Corporation120 Oakside Court, Suite H, Canton, GA 30114

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KIRBY BROWN REINECKE PA-C

Physician Assistant (Medical)

120 OAKSIDE CT, SUITE H
CANTON, GA 30114

Cherokee County (678) 880-8770

KATHARINE MARIE BOWLING FNP-C

Nurse Practitioner (Family)

120 OAKSIDE CT
CANTON, GA 30114

Cherokee County (770) 845-8780

KATHLEEN DAVIS NP-C

Nurse Practitioner (Family)

120 OAKSIDE CT
CANTON, GA 30114

Cherokee County (678) 880-8770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Georgia Mountain Endocrinology Corporation's NPI number?

The NPI number for Georgia Mountain Endocrinology Corporation is 1508188558. It was assigned to this organization in the NPPES registry on February 18, 2010.

Where is Georgia Mountain Endocrinology Corporation located?

Georgia Mountain Endocrinology Corporation is located at 120 Oakside Ct Suite H, Canton, GA 30114. The listed phone number is (404) 556-9696.

What is Georgia Mountain Endocrinology Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Does Georgia Mountain Endocrinology Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2003625) is associated with this NPI, valid through February 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Georgia Mountain Endocrinology Corporation was last updated on February 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.