First Mountain Medical, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

59919 Issued in GA

Legal business name

FIRST MOUNTAIN MEDICAL, LLC

Practice address

640 West Church St
Jasper, GA 30143

Phone

(706) 253-3737

Fax

(706) 253-3747

NPI assigned

Nov 12, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Traci Renee Harris

Title

Owner

Phone

(770) 894-4939

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• John M Harris, MD

  • Internal Medicine Physician
  • Port Charlotte, FL
  • NPI 1487648556
  NPD (past)

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1932400520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 WEST CHURCH ST",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "30143",
            "telephone_number": "706-253-3737",
            "fax_number": "706-253-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 WEST CHURCH ST",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "30143",
            "telephone_number": "706-253-3737",
            "fax_number": "706-253-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST MOUNTAIN MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-894-4939",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "59919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Beth Faison, CCC-SLP
• Christopher David Farmer, MS, LPC, MAC, CPCS
• John Farr, M.D.
• Carlton Trent Faulk, MEDICAL DOCTOR
• Crystal Lynn Favre, LPC007028, GEORGIA
• Lisa Ann Flint, APRN
• Russell Austin Flint, MD
• Foot and Ankle Reconstruction of North Georgia PC
• Fortis Health, LLC
• Joshua D Foulk, DMD

• Internal Medicine Physician in Jasper, GA
• Providers in Jasper, 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 Nov 12, 2010; 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.