Mountainside Pediatrics
Mountainside Pediatrics is a healthcare organization registered as Primary Care Clinic/Center in Jasper, GA, holding Type 2 (organization) NPI 1710267505 since 2011. The authorized official on file is Khawaja Mahmood, Sole Proprietor.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710267505 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mountainside Pediatrics |
| Practice address | 12 SAMMY MCGHEE BLVD, SUITE 102, Jasper, GA, 30143 |
| Phone | 7062539898 |
| Fax | 7062539896 |
| Enumeration date | 2011-08-24 |
| Last updated in NPPES | 2011-08-24 |
Authorized official
| Name | Khawaja Mahmood |
|---|---|
| Title | Sole Proprietor |
| Phone | 7062539898 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2300X | Primary Care Clinic/Center | Primary | 42648 | GA |
Copy-ready billing details
Provider: Mountainside Pediatrics NPI: 1710267505 Taxonomy: 261QP2300X (Primary Care Clinic/Center) Address: 12 SAMMY MCGHEE BLVD, SUITE 102, Jasper, GA, 30143
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1861486557 | Khawaja Mahmood | Individual | Pediatric Adolescent Medicine Physician | Jasper, GA |
| 1346301470 | Complete Health Diagnostics, Inc. | Organization | Other Technician | Jasper, GA |
| 1588719470 | Moiz Master | Individual | Internal Medicine Physician | Jasper, GA |
| 1912041989 | Mastercare Medical Center | Organization | Legal Medicine | Jasper, GA |
| 1639454408 | Wellstar Cardiovascular Medicine, LLC | Organization | Cardiovascular Disease Physician | Jasper, GA |
| 1942608799 | Jeanne Anderson | Individual | Family Nurse Practitioner | Jasper, GA |
Verify this record
Cross-check NPI 1710267505 against the authoritative CMS record: view Mountainside Pediatrics on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Mountainside Pediatrics?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-08-24.