Mountain Medical Specialists, PC
NPI 1366504789ActiveOrganization· Internal Medicine· Demorest, GA
Internal Medicine in Demorest, Georgia, registered in NPPES in December 2006. The authorized official on file is Sonya D. Hix, Office Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366504789 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2006 |
| Last updated in NPPES | Mar 7, 2024 |
| Certified by provider | Mar 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 26375 | GA |
| Internal Medicine, Sports Medicine | 207RS0010X | 26375 | GA |
| Nurse Practitioner, Family | 363LF0000X | RN124242 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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