Individual provider Active NPI

Mirei Malave, NP-C

  • Adult Health Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1356782445
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11014767 Issued in FL
Practice address
1365 Clifton Rd NE
Building B -Suite 1200
Atlanta, GA 30322-1013
Phone
(404) 778-3184
Fax
(706) 238-8011
NPI assigned
Jul 17, 2013
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11014767 FL Primary

Addresses

Primary practice location

1365 Clifton Rd NE
Building B -Suite 1200
Atlanta, GA 30322-1013

Mailing address

420 SE 8TH St
Ocala, FL 34471-3760
Phone (352) 304-6480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20240905000266 FL Practitioner - Nurse Practitioner 8729219084 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bello Mid-Level IncGroup PAC ID 7214337534, 2 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

420 SE 8TH St
Ocala, FL 34471-3760
Phone (352) 304-6480

8449 SW Hwy 200
Ocala, FL 34481-9695
Phone (352) 693-3378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11014767FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sharma Institute of Pain Medicine CurrentSince Jul 7, 2024 Accepting new patients
Harbin Clinic, LLC Current Accepting new patients
Elyaman Medical Services PA Adult Health CurrentSince Oct 1, 2024 Accepting new patients
Bello Mid-Level Inc. CurrentSince Apr 1, 2025 Accepting new patients

Locations

420 SE 8th St
Ocala, FL 34471
Phone (352) 304-6480

6041 SW 54th St
Ste 200
Ocala, FL 34474
Phone (352) 857-8417

1501 N US Highway 441
Ste 1104
The Villages, FL 32159
Phone (352) 433-0085

1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073

Interoperability endpoints

  • Direct secure messaging: mirei.malave@385299745144836.direct.elationemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1356782445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SE 8TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344713760",
            "telephone_number": "352-304-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 CLIFTON RD NE",
            "address_2": "BUILDING B -SUITE 1200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221013",
            "telephone_number": "404-778-3184",
            "fax_number": "706-238-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAVE",
        "first_name": "MIREI",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11014767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.