Mohid Mirza

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

99072 Issued in GA

Practice address

55 Whitcher St NE Ste 460
Marietta, GA 30060-1171

Phone

(770) 427-7389

NPI assigned

Mar 19, 2019

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nephrology

Education

Nova Southeastern College of Osteo Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Kidney Associates, Inc.Group PAC ID 1951399799, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fresenius Medical Care South Cobb Dialysis facility, Austell, GA, CCN 112668
• Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
• Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
• Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
• Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042
• Wellstar Douglas Medical Center Hospital, Douglasville, GA, CCN 110184

Merit-based Incentive Payment System (MIPS)

Final score

93.93 of 100Reported as apm

Quality

82.14

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Georgia Kidney Associates, Inc.

  • Specialist
  • Marietta, GA
  • NPI 1932183654
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bio-Medical Applications of Georgia, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Austell, GA
  • NPI 1881706695

  Dialysis facility

  Care Compare affiliation Name & address match
• Cobb Hospital, Inc

  • General Acute Care Hospital
  • Austell, GA
  • NPI 1467420448
  Care Compare affiliation
• Douglas Hospital, Inc.

  • General Acute Care Hospital
  • Douglasville, GA
  • NPI 1649247974
  Care Compare affiliation
• Kennestone Hospital, Inc.

  • General Acute Care Hospital
  • Marietta, GA
  • NPI 1649248626
  Care Compare affiliation
• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Canton, GA
  • NPI 1225050396
  Care Compare affiliation
• Paulding Medical Center, Inc.

  • General Acute Care Hospital
  • Hiram, GA
  • NPI 1457329435
  Care Compare affiliation

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1124587936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 14TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WHITCHER ST NE STE 460",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601171",
            "telephone_number": "770-427-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "MOHID",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "99072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mintysmile Dentistry
• Kathleen Miraflores, O.D.
• Karla Vanessa Miralles, DNP, APRN
• Maria Miranda, RBT
• Absar Ahmad Mirza, MD
• Sarika Mishra, NP
• Kelley Kyburz Mitchell, PT
• Kyle Darren Mitchell, D.O.
• Leia Mitchell, PA-C
• Marylee Mitchell, REGISTERED NURSE

• Nephrology Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.