Active NPI
Paul A Miranda, MD
- Family Medicine Physician
- Jasper, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34164
- Practice address
- 1000 TN-28
Jasper, TN 37347 - Phone
- (423) 837-3400
- NPI assigned
- Jul 13, 2006
- Last updated
- May 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD034164 | TN | |
| Family Medicine Physician | 207Q00000X | 70270 | GA | |
| Family Medicine Physician | 207Q00000X | 34164 | TN | Primary |
Addresses
Primary practice location
1000 TN-28
Jasper, TN 37347
Mailing address
2589 Bristlecone LN
Signal Mountain, TN 37377-1473
Phone (423) 243-8196
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508291 | Medicaid | TN | |
| 4352656 | Other | TN | BCBS - TENNESSEE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA, FL, OH, MI, DC, VA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of South Alabama College of Medicine, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1032 E Brandon Blvd
Brandon, FL 33511-5509
2589 Bristlecone LN
Signal MTN, TN 37377-1473
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18194 | MS | MD | Psychologist |
| MD034164 | TN | MD | Emergency Medicine Physician |
| 70270 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Hospitalists Group, LLC | Current | Accepting new patients | |
| Georgia Hospitalists Group, LLC | Current | Accepting new patients | |
| Chattanooga Emergency Medicine PLLC | Current | Accepting new patients | |
| Firsthand Health of Michigan, P.C. | Current | Accepting new patients | |
| Weaver Health Services, LLC | Family Medicine | Current | Accepting new patients |
| Spring Creek Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Firsthand Health of Florida PA | Current | Accepting new patients | |
| Tennessee River Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Chattanooga Emergency Medicine PLLC | Current | Accepting new patients | |
| Georgia Hospitalists Group, LLC | Current | Accepting new patients | |
| Tennessee River Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Firsthand Health of Washington PC | Current | Accepting new patients | |
| Tennessee River Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of TN, PC | Emergency Medicine | Current | Accepting new patients |
| Firsthand Health of Ohio | Current | Accepting new patients | |
| Firsthand Health of Virginia PC | Current | Accepting new patients | |
| Emergency Medical Associates | Past | Accepting new patients | |
| Gulfport Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Emergency Medical Associates | Past | Accepting new patients |
Locations
8384 Baymeadows Rd
Ste 4
Jacksonville, FL 32256
Phone (904) 776-5846
12540 NE 8th Ave
North Miami, FL 33161
Phone (786) 679-0955
1516 E Colonial Dr
Ste 203
Orlando, FL 32803
Phone (407) 419-0794
100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
7566 Nashville St
Ringgold, GA 30736
Phone (706) 935-3131
7445 Allen Rd
Ste 270
Allen Park, MI 48101
Phone (313) 920-6546
23077 Greenfield Rd
Ste 234
Southfield, MI 48075
Phone (248) 443-8091
524 Broadway
Fl 11
New York, NY 10012
Phone (201) 474-5844
4411 Montgomery Rd
Ste 203
Cincinnati, OH 45212
Phone (513) 704-7472
13201 Granger Rd
Ste 2
Garfield Hts, OH 44125
Phone (216) 316-4059
2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387
2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620
7402 Lee Hwy
Chattanooga, TN 37421
Phone (423) 242-9750
975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499
941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255
2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500
8500 Executive Park Ave
Ste 404
Fairfax, VA 22031
Phone (202) 209-2049
825 Diligence Dr
Ste 207
Newport News, VA 23606
Phone (757) 503-7933
1606 Santa Rosa Rd
Rm 109
Richmond, VA 23229
Phone (804) 461-7008
1142 Broadway
Ste 200
Tacoma, WA 98402
Phone (253) 686-3626
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- paul.miranda@620407976427524.direct.elationemr.com
Organizations & group practices 23
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Care Clinic/Center
- Hixson, TN
- NPI 1427264126
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1720785884
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1396282463
-
- General Practice Physician
- Jacksonville, FL
- NPI 1316685605
-
- General Practice Physician
- Allen Park, MI
- NPI 1184402745
-
- General Practice Physician
- Cleveland, OH
- NPI 1780348185
-
- General Practice Physician
- Tacoma, WA
- NPI 1649058215
-
- Hospitalist Physician
- Riverdale, GA
- NPI 1033576376
-
dba Ringgold Ready Clinic
- Family Medicine Physician
- Ringgold, GA
- NPI 1265895916
-
- Family Medicine Physician
- Chattanooga, TN
- NPI 1871140475
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Home Health
- Home Health Agency
- Chattanooga, TN
- NPI 1326096009
-
dba Parkridge Medical Center
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1104874684
-
dba Avalon Hospice
- Community Based Hospice Care Agency
- Chattanooga, TN
- NPI 1003867458
-
dba North Georgia Home Health Agency, an Amedisys Company
- Home Health Agency
- Ringgold, GA
- NPI 1548218290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1285659144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2589 BRISTLECONE LN",
"city": "SIGNAL MOUNTAIN",
"state": "TN",
"postal_code": "373771473",
"telephone_number": "423-243-8196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 TN-28",
"city": "JASPER",
"state": "TN",
"postal_code": "37347",
"telephone_number": "423-837-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "PAUL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2024-05-15",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "MD034164",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "70270",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "34164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508291",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - TENNESSEE",
"identifier": "4352656",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, TN
- Marion Health and Wellness LLC
- Marion Health and Wellness LLC
- Jana Marlow, LCSW
- Medical Arts Plaza, P.C.
- Medical Equipment Distributors of Tenessee (Medical Mart)
- Isabelle Moore, SLP-CCC
- Edward L Mosley, M.D.
- Northland Hearing Center, Inc. (The Hearing Aid Center)
- Oxygen Plus, Corp
- Hal Jamison Parker, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.