Nasra Mohamed Mirreh, MSW

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

4058 Creek Station LN
Stone Mountain, GA 30083-7003

Phone

(404) 287-5406

Fax

(404) 296-8743

NPI assigned

Jun 3, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Primary Health Care Resource Service, LP

  • Case Management Agency
  • Stone Mountain, GA
  • NPI 1699374934
  NPD Authorized official

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1760040919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4058 CREEK STATION LN",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300837003",
            "telephone_number": "404-287-5406",
            "fax_number": "404-296-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4058 CREEK STATION LN",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300837003",
            "telephone_number": "404-287-5406",
            "fax_number": "404-296-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRREH",
        "first_name": "NASRA",
        "middle_name": "MOHAMED",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Case Management Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.