Mountain Medical Specialists, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

26375 Issued in GA

Legal business name

MOUNTAIN MEDICAL SPECIALISTS, PC

Practice address

207 Adams Dr
Demorest, GA 30535-4501

Phone

(706) 754-5191

Fax

(706) 754-5191

NPI assigned

Dec 14, 2006

Last updated

Mar 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sonya D Hix

Title

Office Administrator

Phone

(706) 754-5191

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DACIBA

Practitioners 3

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.

• Catherine M. Kilgore, APRN

  • Family Nurse Practitioner
  • Demorest, GA
  • NPI 1245230010
  Medicare reassignment NPD
• Floyd Stuart Sanders, MD

  • Internal Medicine Physician
  • Demorest, GA
  • NPI 1689763633
  Medicare reassignment NPD
• Megan Lord Duncan, PA-C

  • Medical Physician Assistant
  • Athens, GA
  • NPI 1821442138
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1366504789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "CLARKESVILLE",
            "state": "GA",
            "postal_code": "305230016",
            "telephone_number": "706-754-5191",
            "fax_number": "706-754-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 ADAMS DR",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305354501",
            "telephone_number": "706-754-5191",
            "fax_number": "706-754-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MEDICAL SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "HIX",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "706-754-5191"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN124242",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "26375",
            "primary": true
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "GA",
            "license": "26375",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110104731",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000300605D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANDERS UPIN NUMBER",
            "identifier": "D42109",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE VENDOR NUMBER",
            "identifier": "194840",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Miller, DPT
• Maxwell S Miller
• Lauren Mitchell
• Jodi A Mosher, LCSW
• Mountain Internal Medicine
• MRI & Imaging of Georgia, LLC
• Ms Lillys Singing and Piano Lessons and Speech Therapy, LLC (Lillian Wayne Buck Speech Language Pathology Services)
• Myfamilydoc LLC
• Nancy M Watson MD PC
• Wyatt V Nicholson

• Internal Medicine Physician in Demorest, GA
• Providers in Demorest, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.