Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountainside Pediatrics

Organization Primary Care Clinic/Center · NPI 1710267505

Mountainside Pediatrics is a Primary Care Clinic/Center in Jasper, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011

Practice location Address checks out

12 Sammy McGhee Blvd Ste 102
Jasper, GA 30143-7711
Phone: (706) 253-9898
Fax: (706) 253-9896
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 42648 (GA)

Record details

NPI number1710267505
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khawaja Mahmood — Sole Proprietor · (706) 253-9898
NPI enumeratedAugust 24, 2011
Last updated in NPPESAugust 24, 2011
Mailing address12 Sammy McGhee Boulavard, Suite 102, Jasper, GA 30143-7711

Other providers in Jasper