Mountaintop Healthcare Co | NPI 1780120188

Key facts

NPI: 1780120188
Entity type: Organization (NPI type 2)
Primary specialty: Primary Care Clinic/Center 261QP2300X
License: 66224 (GA)
Legal business name: MOUNTAINTOP HEALTHCARE CO
Practice address: 1976 Main St E Ste C
Snellville, GA 30078-6460
Phone: (470) 395-3618
Fax: (770) 979-5155
NPI assigned: Jan 10, 2017
Organization subpart: No

Authorized official

Name: Belinda Millington, MD NPI 1255596458
Title: Ceo
Phone: (470) 395-3618

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Belinda Millington, MD General Practice Physician · Snellville, GA · NPI 1255596458

Medicare reassignment NPD Authorized official GA

Medicare participation

Medicare fee-for-service enrollment: Enrolled in GA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20170119001503	GA	Part B Supplier - Clinic/Group Practice	3971885369	Receives reassigned benefits from 1 practitioner Practice locations: Snellville, GA

National Provider Directory

Locations

3600 Dallas Hwy SW
Ste 230
Marietta, GA 30064

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Health Service Clinic/Center	261QH0100X
Primary Care Clinic/Center	261QP2300X	66224	GA	Yes

Addresses

Primary practice location

1976 Main St E Ste C
Snellville, GA 30078-6460

Mailing address

3600 Dallas Hwy SW Ste 230
PMB 156
Marietta, GA 30064-1685
Phone (470) 395-3618

Other names

Minor Medical Heathcare Doing business as

Other providers in Snellville, GA

All providers in Snellville, GA · Primary Care Clinic/Center in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.