P Praxis·MD
● Active Type 2 · Organization

Mountainside Orthopedics

Durable Medical Equipment & Medical Supplies·Jasper, GA· NPI 1639293988 · Enumerated 2007 · 19 years on NPI
Mountainside Orthopedics is 1 of 2003 durable medical equipment & medical supplies organizations in Georgia.
NPI age
19 years
Enumerated 2007-03-19
Primary specialty
Durable Medical Equipment & Medical Supplies
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tardif
Credentialing Manager
Last NPPES update
2009-01-08
Source: monthly bulk 2026-05

How this organization compares

Across 2003 active durable medical equipment & medical supplies providers in Georgia.

NPI age
19 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
620 J L White Dr, Suite 100
Jasper, GA 301434896
📞 7066926980
Mailing address
Po Box 102321
Atlanta, GA 303682321

Authorized official

Jennifer Tardif
Credentialing Manager
📞 7708012526

Individual providers at this organization

8 individual providers on file at this primary practice address.

Specialties

  • Durable Medical Equipment & Medical Supplies Primary
    A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
    GA license #035504 taxonomy 332B00000X

Practice context

Multi-provider organization. 8 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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