THE MIRANDA, LLC (NPI# 1770920696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770920696 |
| Entity Type | Organization |
| Organization Name | THE MIRANDA, LLC |
| Practice Address |
1940 S Main St Moultrie GA 31768-6524 |
| Practice Telephone | 2295291134 |
| Mailing Telephone | 2295291134 |
| Enumeration Date | 2013-06-01 |
| Last Update Date | 2014-12-10 |
| Authorized Official Name | MRS. MIRANDA ROBINSON TAYLOR (PRESIDENT) |
| Authorized Official Telephone | 2295291134 |
| Authorized Official Credential | CMF |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | GA | Suppliers | |
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
GA | Suppliers |
| Street Address |
1940 S MAIN ST |
| City | MOULTRIE |
| State | GA |
| Zip Code | 31768-6524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467457853 | Randall R. Benner | Dentist | 1940 S Main St, Moultrie, GA 31768-6524 | 2005-06-14 |
| 1538593306 | Miranda Robinson Taylor | Specialist | 1940 S Main St, Moultrie, GA 31768-6524 | 2013-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975452 | Zachary Schiffer | Specialist/Technologist | 3131 S Main Street, Moultrie, GA 31768 | 2020-02-27 |
| 1326697731 | Daisy Concierge Care | Nursing Care | 437 S. Morris Rd Lt 1, Moultrie, GA 31768 | 2019-09-09 |
| 1194208751 | Regina Mercer Ward | Nurse Practitioner | 1724 Villa Dr Sw, Moultrie, GA 31768 | 2018-09-10 |
| 1225473630 | Moultrie Orthodontics, P.C. | Clinic/Center | 12 Longleaf Office Park, Moultrie, GA 31768 | 2013-04-30 |
| 1497032239 | Freds Stores of Tennessee Inc | Pharmacy | 2601 South Main Street, Moultrie, GA 31768 | 2011-11-08 |
| 1821382672 | Colquitt Regional Ob/gyn, LLC | Obstetrics & Gynecology | 3 Sweet Bay Ct, Moultrie, GA 31768 | 2011-06-08 |
| 1568779809 | Shana Goodno | Nurse Practitioner | 207 31 St Ave Se, Moultrie, GA 31768 | 2010-09-08 |
| 1508177445 | Cherokee Rose Emergency Physicians | Emergency Medicine | 3131 South Main Street, Moultrie, GA 31768 | 2010-06-25 |
| 1023299963 | Hetal Patel | Counselor | 600 2nd St South East, Moultrie, GA 31768 | 2007-11-20 |
| 1720146756 | William C Byrd Inc | Assisted Living Facility | 498 5th Street Se, Moultrie, GA 31768 | 2006-12-04 |
| Find all providers in zip 31768 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962461301 | Respiratory Medical Equipment of Ga Inc | Durable Medical Equipment & Medical Supplies | 301 1st Ave Se, Moultrie, GA 31768-4754 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163228 | Juanetta Barnes | Durable Medical Equipment & Medical Supplies | 2597 Thorngate Way, Acworth, GA 30101-8837 | 2020-08-06 |
| 1952919136 | Aklor Inc | Durable Medical Equipment & Medical Supplies | 2310 Parklake Dr Ne Ste 135, Atlanta, GA 30345-2913 | 2020-07-14 |
| 1285254656 | Kinetic Prosthetics & Medical Supply | Durable Medical Equipment & Medical Supplies | 3595 Hiram Douglasville Hwy Ste 102, Hiram, GA 30141-4963 | 2020-04-25 |
| 1215569843 | Jessi'ca Coley | Durable Medical Equipment & Medical Supplies | 451 Brookview Dr Ste A, Riverdale, GA 30274-7206 | 2020-02-11 |
| 1497387260 | Ogles Oxygen, LLC | Durable Medical Equipment & Medical Supplies | 5901 Goshen Springs Rd Ste G, Norcross, GA 30071-3506 | 2020-02-10 |
| 1982248969 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 4406 Mercer University Drive, Suite D, Macon, GA 31210-5608 | 2019-11-01 |
| 1548816283 | Daniel Arbuckle | Durable Medical Equipment & Medical Supplies | 2304 Pierce Way, Buford, GA 30519-2293 | 2019-08-16 |
| 1700438587 | Evelyn Ray LLC | Durable Medical Equipment & Medical Supplies | 12570 Lakeside Pkwy, Fayetteville, GA 30215-4002 | 2019-07-12 |
| 1073174603 | Freedom Mobility Center, Inc. | Durable Medical Equipment & Medical Supplies | 4717 Us Highway 80 E Ste 7a, Savannah, GA 31410-2943 | 2019-06-25 |
| 1790258226 | Ariana Sade Jones | Durable Medical Equipment & Medical Supplies | 1015 Casa Dr, Clarkston, GA 30021-1109 | 2019-01-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.