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MOUNTAINSIDE ORTHOPEDICS
NPI 1639293988
Durable Medical Equipment & Medical Supplies in Jasper, GA

Active since March 19, 2007
620 J L WHITE DR, SUITE 100, JASPER, GA 30143(706) 692-6980 Get Directions Write a Review

NPPES record last updated: January 8, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mountainside Orthopedics NPPES

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

MOUNTAINSIDE ORTHOPEDICS (NPI 1639293988) is a healthcare organization registered as a durable medical equipment & medical supplies in Jasper, Georgia and active in the NPI registry since March 2007. The organization lists Jennifer Tardif, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1639293988
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMOUNTAINSIDE ORTHOPEDICS
Location Address620 J L WHITE DR, SUITE 100Jasper, GA 30143-4896
Mailing AddressPo Box 102321Atlanta, GA 30368-2321
Phone(706) 692-6980
Organization SubpartNo
Authorized OfficialJennifer TardifCredentialing Manager · (770) 801-2526
Enumeration DateMarch 19, 2007
Last NPPES UpdateJanuary 8, 2009
✔ NPI 1639293988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in GA · 035504
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
620 J L WHITE DR, Jasper, GA 30143
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Other Identifiers 2

Medicare NSC5404790001GA
Medicare ID-Type Unspecified20NCCJSGA

Other Providers at the Same Location NPPES 15

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

LAWRENCE T STEINBECK PT
Physical Therapist
620 J L WHITE DR, SUITE 110
JASPER, GA 30143
Pickens County (706) 692-9080
JAMIE CAROL HUTCHESON PT
Physical Therapist
620 J L WHITE DR, STE 110
JASPER, GA 30143
Pickens County (404) 367-2088
CLAIRE C WOOD
Occupational Therapist
620 J L WHITE DR, SUITE 110
JASPER, GA 30143
Pickens County (706) 692-9080
GEORGIA CANCER SPECIALISTS I PC
Internal Medicine (Hematology & Oncology)
620 J L WHITE DR, SUITE 140
JASPER, GA 30143
Pickens County (706) 253-3100
VILLAGE PODIATRY GROUP, LLC
Podiatrist
620 J L WHITE DR, STE. 140
JASPER, GA 30143
Pickens County (678) 800-0036
DR. FOLSOM PROCTOR MD
Orthopaedic Surgery
620 J L WHITE DR, SUITE 100
JASPER, GA 30143
Pickens County (706) 692-6980
SLEEP SERVICFES OF JASPER, LLC
Specialist/Technologist, Other
620 J L WHITE DR, SUITE 130
JASPER, GA 30143
Pickens County (706) 253-2378
JAMES W POTTER MSPT
Physical Therapist
620 J L WHITE DR, SUITE 110
JASPER, GA 30143
Pickens County (706) 692-9080

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 Mountainside Orthopedics's NPI number?

The NPI number for Mountainside Orthopedics is 1639293988. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is Mountainside Orthopedics located?

Mountainside Orthopedics is located at 620 J L White Dr Suite 100, Jasper, GA 30143. The listed phone number is (706) 692-6980.

What is Mountainside Orthopedics's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Mountainside Orthopedics was last updated on January 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.