Individual provider Active NPI

Paul A Miranda, MD

  • Family Medicine Physician
  • Jasper, TN
National Provider Identifier
1285659144
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34164 Issued in TN
Practice address
1000 TN-28
Jasper, TN 37347
Phone
(423) 837-3400
NPI assigned
Jul 13, 2006
Last updated
May 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1508291MedicaidTN
4352656OtherTNBCBS - TENNESSEE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA, FL, OH, MI, DC, VA, WA8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20070223000666 TN Practitioner - Emergency MedicinePractitioner - Family Practice 3678510492 Reassigns benefits to 4 organizations
Practice locations: Signal Mountain, TN
I20131009000084 GA Practitioner - Family Practice 3678510492 Reassigns benefits to 2 organizations
I20250909001189 FL Practitioner - Family Practice 3678510492 Reassigns benefits to 1 organization
I20250910002885 OH Practitioner - Family Practice 3678510492 Reassigns benefits to 1 organization
I20250911002749 MI Practitioner - Family Practice 3678510492 Reassigns benefits to 1 organization
I20250914000038 DC Practitioner - Family Practice 3678510492 Reassigns benefits to 1 organization
I20251001004297 VA Practitioner - Family Practice 3678510492 Reassigns benefits to 1 organization
I20251017003220 WA Practitioner - Family Practice 3678510492 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
18194MSMDPsychologist
MD034164TNMDEmergency Medicine Physician
70270GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Hospitalists Group, LLC Current Accepting new patients
Georgia Hospitalists Group, LLC CurrentSince Jan 24, 2016 Accepting new patients
Chattanooga Emergency Medicine PLLC CurrentSince Jul 1, 2007 Accepting new patients
Firsthand Health of Michigan, P.C. CurrentSince Jun 30, 2025 Accepting new patients
Weaver Health Services, LLC Family Medicine CurrentSince Jul 22, 2016 Accepting new patients
Spring Creek Emergency Physicians PLLC Emergency Medicine CurrentSince Jul 17, 2019 Accepting new patients
Firsthand Health of Florida PA CurrentSince Jun 30, 2025 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 CurrentSince Jan 24, 2016 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince Feb 10, 2018 Accepting new patients
Firsthand Health of Washington PC CurrentSince Jun 30, 2025 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince Feb 10, 2018 Accepting new patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Firsthand Health of Ohio CurrentSince Jun 30, 2025 Accepting new patients
Firsthand Health of Virginia PC CurrentSince Jul 25, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: 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.

View all 23

Hospital & facility affiliations 4

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

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

Sources for this page

Verify at the official NPI Registry.