The Miranda, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

THE MIRANDA, LLC

Practice address

1940 S Main St
Moultrie, GA 31768-6524

Phone

(229) 529-1134

NPI assigned

Jun 1, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Miranda Robinson Taylor, CMF

Title

President

Phone

(229) 529-1134

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Miranda Robinson Taylor, HAIR LOSS SPECIALIST

  • Prosthetics Case Management
  • Moultrie, GA
  • NPI 1538593306
  NPD (past)

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

{
    "created_epoch": "1370044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1770920696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 S MAIN ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686524",
            "telephone_number": "229-529-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 S MAIN ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686524",
            "telephone_number": "229-529-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MIRANDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-01",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "ROBINSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-529-1134",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janae Ashanti Taylor
• Michael A Thayer, M.D.
• The Golden Apple II
• The Kirk Clinic LLC
• The Lift Pelvic Therapy & Wellness, LLC
• The Wings of Holly Blue LLC
• Thomas Fitzpatrick, MD, PC
• Clifton Blayne Thomas, MD
• Felicia Thomas
• Thomasville Dental Associates

• Customized Equipment (DME) in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.