Dwight Paul Mirmow, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

048805 Issued in GA

Practice address

2260 Lurightsboro Rd
Laboratory Medicine, PC
Augusta, GA 30904

Phone

(706) 481-7473

Fax

(706) 481-7868

NPI assigned

Sep 8, 2005

Last updated

Feb 1, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Specialty

Pathology

Education

University of South Carolina School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elms Digestive Disease Specialists PAGroup PAC ID 8123015617, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.88 of 100Reported as group

Quality

51.75

Promoting interoperability

97

Improvement activities

40

Cost

87

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Elms Digestive Disease Specialists,PA

  • Gastroenterology Physician
  • North Charleston, SC
  • NPI 1821024431
  Medicare reassignment Care Compare group NPD
• Pathology Associates of Waycross

  • Anatomic Pathology & Clinical Pathology Physician
  • Waycross, GA
  • NPI 1861486904
  NPD (past) Authorized official
• Metamark Laboratories, Inc.

  • Clinical Medical Laboratory
  • Augusta, GA
  • NPI 1841203429
  NPD

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1730173493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 KINGS WAY",
            "address_2": "LABORATORY MEDICINE, PC",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30904",
            "telephone_number": "706-481-7473",
            "fax_number": "706-481-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 LURIGHTSBORO RD",
            "address_2": "LABORATORY MEDICINE, PC",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30904",
            "telephone_number": "706-481-7473",
            "fax_number": "706-481-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRMOW",
        "first_name": "DWIGHT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "048805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nora D Mintz, CRNA
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• Miracle Making Ministries, Inc. (Druid Park Community Health)
• Ahmad Karim Mirza, MD
• Ali Mirza, MD, MPH
• Faris Anthony Mirza, MD
• Samarth Mishra, MD
• Kajal Mistry, MEDICAL DOCTOR

• Anatomic Pathology & Clinical Pathology Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.

Verify at the official NPI Registry.