MOUNTAINSIDE PATHOLOGY, LLC
NPI 1891480398
Pathology - Anatomic Pathology & Clinical Pathology in Jasper, GA
About Mountainside Pathology, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOUNTAINSIDE PATHOLOGY, LLC (NPI 1891480398) is a healthcare organization registered as an anatomic pathology & clinical pathology in Jasper, Georgia and active in the NPI registry since April 2023. The organization lists Dean William Joelson, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mountainside Pathology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Mountainside Pathology, LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Pathology, LLC's NPI number?
The NPI number for Mountainside Pathology, LLC is 1891480398. It was assigned to this organization in the NPPES registry on April 10, 2023.
Where is Mountainside Pathology, LLC located?
Mountainside Pathology, LLC is located at 1266 Highway 515 S, Jasper, GA 30143. The listed phone number is (706) 692-2441.
What is Mountainside Pathology, LLC's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Mountainside Pathology, LLC enrolled in Medicare?
Yes. Mountainside Pathology, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mountainside Pathology, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians, all in Pathology, reassign their Medicare billing to Mountainside Pathology, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mountainside Pathology, LLC was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mountainside Pathology, Llc · NPI 1891480398
Anatomic Pathology & Clinical Pathology organization in Jasper, Georgia. Organization record, active in the CMS NPPES registry since April 10, 2023.
## Identity
- **NPI:** 1891480398 (Entity type: Organization)
- **Enumerated:** April 10, 2023
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **Organization subpart:** No
- **Authorized official:** Dean Joelson, MANAGER
## Practice location
- **Address:** 1266 HIGHWAY 515 S, Jasper, GA 30143-4872
- **Phone:** (706) 692-2441
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians (Pathology) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1891480398) · Data from the CMS NPPES public registry.