Ronald James Mirenda, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN220139 Issued in GA

Practice address

299 N Broad St
Winder, GA 30680

Phone

(770) 867-2120

Fax

(770) 867-2140

NPI assigned

Aug 24, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physiatry Consultants of Ga LLCGroup PAC ID 5698182616, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physiatry Consultants of Ga LLC

  • Physical Medicine & Rehabilitation Physician
  • Morton Grove, IL
  • NPI 1609468248

  GA

  Medicare reassignment Care Compare group
• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1023599404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4681 GLEN LEVEL DR",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305186299",
            "telephone_number": "706-580-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 N BROAD ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "30680",
            "telephone_number": "770-867-2120",
            "fax_number": "770-867-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRENDA",
        "first_name": "RONALD",
        "middle_name": "JAMES",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-24",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN220139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MH Health Care Services, PC
• Michael L Serrano OD
• Miller Family Chiropractic
• Jeffrey Todd Miller, DC
• Ken D Miller, PH.D., LPC, NCC
• Sharon Denise Mitchell, PHLEBOTOMY
• Yucdenia Molina
• Wislene Mondelus
• Monroe Anesthesia Services
• Gary Mooney

• Family Nurse Practitioner in Winder, GA
• Providers in Winder, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.