Individual provider Active NPI

Miranda Greenfield, PA-C

  • Medical Physician Assistant
  • Peachtree City, GA
National Provider Identifier
1619510591
Registry record updated Mar 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
12733 Issued in GA
Practice address
1000 Commerce Dr Ste 200
Peachtree City, GA 30269-3520
Phone
(470) 489-0090
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 12733 GA Primary

Addresses

Primary practice location

1000 Commerce Dr Ste 200
Peachtree City, GA 30269-3520

Mailing address

204 Florence Rd
Peachtree City, GA 30269-5657
Phone (318) 805-3817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191213001031 TN Practitioner - Physician Assistant 5193158624 Reassigns benefits to 2 organizations
I20241231001131 GA Practitioner - Physician Assistant 5193158624 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia ENT, LLCGroup PAC ID 3779021118, 12 clinicians
Piedmont Orthopedics, LLCGroup PAC ID 4385963172, 191 clinicians

Practice addresses (Care Compare)

1000 Commerce Dr
Suite 200
Peachtree City, GA 30269-3520
Phone (470) 489-0090

1265 Hwy 54 W
Suite 200
Fayetteville, GA 30214-4543
Phone (770) 460-1900

620 Cherokee St NE
Suite 300
Marietta, GA 30060-7202
Phone (770) 635-1812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
12733GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 7, 2021 Accepting new patients
Crossroads Urgent Care PLLC Family Medicine CurrentSince Dec 30, 2021 Accepting new patients
Crossroads Urgent Care PLLC Family Medicine CurrentSince Dec 30, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC Family Medicine CurrentSince Oct 7, 2021 Accepting new patients
Piedmont Orthopedics, LLC CurrentSince Nov 1, 2025 Accepting new patients
Orthoatlanta, LLC CurrentSince Nov 3, 2025 Accepting new patients
Orthoatlanta, LLC Current Accepting new patients
Orthoatlanta, LLC CurrentSince Nov 3, 2025 Accepting new patients

Locations

1265 Highway 54 W
Ste 200
Fayetteville, GA 30214
Phone (404) 785-8741

1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771

620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812

2201 Newnan Crossing Blvd E
Ste 100
Newnan, GA 30265
Phone (770) 460-4747

710 Nashville Pike
Gallatin, TN 37066
Phone (615) 471-8673

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

1144 Fortress Blvd
Ste K
Murfreesboro, TN 37128
Phone (615) 809-3541

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4

Organizations & group practices 9

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": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740873600000",
    "number": "1619510591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 FLORENCE RD",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302695657",
            "telephone_number": "318-805-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COMMERCE DR STE 200",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693520",
            "telephone_number": "470-489-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENFIELD",
        "first_name": "MIRANDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "12733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.