Individual provider Active NPI

Alex Sarmen Mirakian

  • Radiation Oncology Physician
  • Marianna, FL
National Provider Identifier
1598807778
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME158312 Issued in FL
Practice address
3031 Carters Mill Rd
Marianna, FL 32446-1902
Phone
(850) 526-2104
Fax
(850) 482-2445
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME158312 FL Primary

Addresses

Primary practice location

3031 Carters Mill Rd
Marianna, FL 32446-1902

Mailing address

PO Box 931176
Atlanta, GA 31193-1176

Other practice location 1

4274 W Main St
Dothan, AL 36305-1062
Phone (334) 793-2312

Other practice location 2

104 Medical Park Dr
Andalusia, AL 36420-5357
Phone (334) 427-5001

Other practice location 3

203 E Adams Ave
Enterprise, AL 36330-2546
Phone (334) 347-5316

Other identifiers 8

IdentifierTypeStateIssuer
P01568224OtherFLRR MEDICARE
256925MedicaidAL
58061OtherFLBCBS
P02566934OtherALRAILROAD MEDICARE
P938828OtherFLOPTIMUM
A98751AOtherALMEDICARE PTAN
258638MedicaidAL
9811089OtherFLAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, AL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20080102000438 FL Practitioner - Radiation Oncology 1153401286 Reassigns benefits to 3 organizations
I20200826002879 GA Practitioner - Radiation Oncology 1153401286 Reassigns benefits to 1 organization
I20201012001893 AL Practitioner - Radiation Oncology 1153401286

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Regional Health Systems IncGroup PAC ID 8325952914, 513 clinicians

Practice addresses (Care Compare)

3525 Lakeland Hills Blvd
Lakeland, FL 33805-1965
Phone (863) 603-6565

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39517OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Healthcare, Inc. CurrentSince Mar 21, 2024 Accepting new patients
Limitless Partners, LLC Radiation Oncology CurrentSince Aug 5, 2024 Accepting new patients
Omni Healthcare, Inc Current Accepting new patients
Lakeland Regional Health Systems, Inc. CurrentSince Apr 8, 2026 Accepting new patients
Tanner Medical Group Inc CurrentSince Aug 10, 2020 Accepting new patients
Associates in Radiation Oncology Services Past Accepting new patients
Limitless Partners Radiation Oncology PastSince Aug 25, 2024 Accepting new patients

Locations

104 Medical Park Dr
Andalusia, AL 36420
Phone (334) 427-5001

4274 W Main St
Dothan, AL 36305
Phone (334) 793-2312

203 E Adams Ave
Enterprise, AL 36330
Phone (334) 347-5316

3031 Carters Mill Rd
Marianna, FL 32446
Phone (850) 526-2101

1344 S Apollo Blvd
Ste 406
Melbourne, FL 32901
Phone (321) 253-4032

706 Dixie St
Ste 220
Carrollton, GA 30117
Phone (770) 812-8825

165 Clinic Ave
Carrollton, GA 30117
Phone (770) 836-9824

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: alex.mirakian@vantageoncology.direct.varian.com
  • Direct secure messaging: alexmirakian@ohi.allscriptsdirect.net

Organizations & group practices 7

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.

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1598807778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931176",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311931176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 CARTERS MILL RD",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461902",
            "telephone_number": "850-526-2104",
            "fax_number": "850-482-2445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4274 W Main St",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363051062",
            "country_code": "US",
            "telephone_number": "334-793-2312",
            "fax_number": "334-671-0484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Andalusia",
            "state": "AL",
            "postal_code": "364205357",
            "country_code": "US",
            "telephone_number": "334-427-5001",
            "fax_number": "334-427-5002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 E Adams Ave",
            "address_purpose": "LOCATION",
            "city": "Enterprise",
            "state": "AL",
            "postal_code": "363302546",
            "country_code": "US",
            "telephone_number": "334-347-5316",
            "fax_number": "334-347-5314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRAKIAN",
        "first_name": "ALEX",
        "middle_name": "SARMEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME158312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01568224",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256925",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58061",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P02566934",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM",
            "identifier": "P938828",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A98751A",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258638",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9811089",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

Verify at the official NPI Registry.