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NPI 1780643411
● Active Type 2 · Organization
Piedmont Mountainside Hospital, Inc.
General Acute Care Hospital · Jasper, GA · NPI 1780643411
·
Enumerated 2006 · 20 years on NPI
Piedmont Mountainside Hospital, Inc. is 1 of 309 general acute care hospital organizations in Georgia.
NPI age
20 years
Enumerated 2006-03-21
Primary specialty
General Acute Care Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cross
Vp, Government Reimbursement
Last NPPES update
2024-02-26
Source: monthly bulk 2026-05
How this organization compares
Across 309 active general acute care hospital providers in Georgia.
NPI age
20 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2006 → 2026
2006-03 Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1266 Highway 515 S
Jasper, GA 301434872
📞 7063015269 fax 7066920939
Mailing address
1266 Highway 515 S, Patient Financial Services
Jasper, GA 301434872
📞 7066922441 fax 7066920939
Authorized official
Robert C Cross
Vp, Government Reimbursement
📞 4702713401
Individual providers at this organization
17 individual providers on file at this primary practice address.
Mohammad Annaba , MD
Internal Medicine
NPI 1962481168
Christopher Atkins , M.D.
Family Medicine
NPI 1497763163
Laura Barbee , FNP-BC
Nurse Practitioner
NPI 1477068575
Nathaniel Chishinga , MD
Internal Medicine
NPI 1376129304
James Conner , CRNA
Nurse Anesthetist, Certified Registered
NPI 1255796645
Merrill Depetrillo , NP
Nurse Practitioner
NPI 1366458192
Erin Egnoski , PA-C
Physician Assistant
NPI 1598116790
Mohamed Elbasha , MD
Emergency Medicine
NPI 1982732483
David Gower , MD
Neurological Surgery
NPI 1881670180
Shireen Haque , MD
Anesthesiology
NPI 1306036934
Robert Mitchell , MD
Internal Medicine
NPI 1194756676
Vimal Patel , D.O.
Hospitalist
NPI 1639556657
Zakary Prem
Emergency Medical Technician, Paramedic
NPI 1427866508
Susanne Raisor , CRNA
Nurse Anesthetist, Certified Registered
NPI 1548256084
Rosemarie Spillane , M.D.
Anesthesiology
NPI 1912993452
Delores Tucker , RN, APRN, GCNS-BC
Clinical Nurse Specialist
NPI 1902178957
Ashley Valderrama , MS, CCC-SLP
Speech-Language Pathologist
NPI 1386420107
Specialties
General Acute Care Hospital
Primary
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital...
GA license #112-619 taxonomy 282N00000X
Identifiers
Type Value Notes
05 (GA)
00001493A
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Piedmont Mountainside Hospital
Type code 3
recorded 2018-10-23
Piedmont Mountainside Hospital
Type code 3
recorded 2006-03-21
Practice context
Multi-provider organization.
17 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.