Active NPI
Miranda S Perry, RN
- Registered Nurse
- McDonough, GA
National Provider Identifier
1265398929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN235738
- Practice address
- 30 Harold Dr
McDonough, GA 30253-4601 - Phone
- (662) 648-9219
- NPI assigned
- Dec 26, 2025
- Last updated
- Dec 26, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN235738 | GA | Primary |
Addresses
Primary practice location
30 Harold Dr
McDonough, GA 30253-4601
Mailing address
30 Harold Dr
McDonough, GA 30253-4601
Phone (662) 648-9219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN235738 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766707200000",
"number": "1265398929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 HAROLD DR",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302534601",
"telephone_number": "662-648-9219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HAROLD DR",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302534601",
"telephone_number": "662-648-9219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "MIRANDA",
"middle_name": "S",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-26",
"last_updated": "2025-12-26",
"certification_date": "2025-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN235738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.