Organization
MOUNTAIN MEDICAL SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA D HIX (OFFICE ADMINISTRATOR)
(706) 754-5191
Entity
Organization
Contact information
Practice address
207 ADAMS DR, DEMOREST, GA 30535-4501
(706) 754-5191
(706) 754-5191
Mailing address
PO BOX 909, CLARKESVILLE, GA 30523-0016
(706) 754-5191
(706) 754-1725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26375
GA
207RS0010X
Sports Medicine (Internal Medicine) Physician
26375
GA
363LF0000X
Family Nurse Practitioner
RN124242
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000300605D
—
GA
01
—
110104731
RAILROAD MEDICARE
GA
01
—
194840
WELLCARE VENDOR NUMBER
GA
01
—
D42109
SANDERS UPIN NUMBER
GA
Enumeration date
12/14/2006
Last updated
03/07/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us