Magnificat Family Care

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

68283 Issued in GA

Legal business name

MAGNIFICAT FAMILY CARE

Practice address

137 W Athens Street
Suite 103
Winder, GA 30680-1710

Phone

(678) 963-5666

NPI assigned

Oct 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Nora M Romero Miranda, M.DNPI 1730442229

Title

Owner

Phone

(704) 526-5560

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nora M Romero Miranda, MD

  • Family Medicine Physician
  • Winder, GA
  • NPI 1730442229
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1740534791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 W ATHENS STREET",
            "address_2": "SUITE 103",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306801710",
            "telephone_number": "678-963-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 W ATHENS STREET",
            "address_2": "SUITE 103",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306801710",
            "telephone_number": "678-963-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNIFICAT FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "ROMERO MIRANDA",
        "authorized_official_first_name": "NORA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-526-5560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "68283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prisca Louis
• Adilene Lozano
• Brittany Dawn Luke, APRN, FNP-C
• Carol Lumpkin, WHNP-BC
• William Thomas Mac New Jr., MD
• Malik M Malik, MBBS
• Mark P. Benner, D.D.S., P.C. (Benner & Townsend Dentistry)
• Julie Baxter Marshall, DMD
• Mark Matson
• Matthew W. Ryan, DC PC (Stewart Clinic of Winder)

• Medical Specialty Clinic/Center in Winder, GA
• Providers in Winder, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.