Organization Active NPI

Mountain Over Earth LLC

  • Acupuncturist
  • Blue Ridge, GA
National Provider Identifier
1063229268
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
MOUNTAIN OVER EARTH LLC
Practice address
112 Professional Rd Ste 1
Blue Ridge, GA 30513-7350
Phone
(619) 751-6904
NPI assigned
Dec 12, 2024
Last updated
Dec 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jaime Fritsch, DACM, L.AC.NPI 1003650243
Title
Acupuncturist / Owner
Phone
(619) 751-6904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

112 Professional Rd Ste 1
Blue Ridge, GA 30513-7350

Mailing address

857 Mountain Rivers LN
Mineral Bluff, GA 30559-7922
Phone (619) 751-6904

National Provider Directory

National Provider Directory

Locations

112 Professional Rd
Ste 1
Blue Ridge, GA 30513
Phone (619) 751-6904

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1063229268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 MOUNTAIN RIVERS LN",
            "city": "MINERAL BLUFF",
            "state": "GA",
            "postal_code": "305597922",
            "telephone_number": "619-751-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 PROFESSIONAL RD STE 1",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305137350",
            "telephone_number": "619-751-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN OVER EARTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "FRITSCH",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "ACUPUNCTURIST / OWNER",
        "authorized_official_telephone_number": "619-751-6904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DACM, L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.