NPI age
14 years
Enumerated 2011-08-24
● Active Type 2 · Organization
Mountainside Pediatrics
Mountainside Pediatrics is 1 of 655 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mahmood
Sole Proprietor
Last NPPES update
2011-08-24
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
14 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-08Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
12 Sammy McGhee Blvd, Suite 102
Jasper, GA 301437711
Mailing address
12 Sammy McGhee Boulavard, Suite 102
Jasper, GA 301437711
Authorized official
Khawaja Raza Mahmood, M.D.
Sole Proprietor
📞 7062539898
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Jeanne Anderson Nurse Practitioner NPI 1942608799
- Khawaja Mahmood, M.D. Pediatrics NPI 1861486557
- Moiz Master, M.D. Internal Medicine NPI 1588719470
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.