Organization Active NPI

Donald J. Mirate, M.D., P.C.

  • Ophthalmology Physician
  • Valdosta, GA
National Provider Identifier
1841324803
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
21261 Issued in GA
Legal business name
DONALD J. MIRATE, M.D., P.C.
Practice address
2707 N Forrest St
Valdosta, GA 31602-2057
Phone
(229) 242-8852
Fax
(229) 247-2609
NPI assigned
Mar 14, 2007
Last updated
Oct 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Dr. Donald John Mirate, M.D.NPI 1568456770
Title
President
Phone
(229) 242-8852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 21261 GA Primary

Addresses

Primary practice location

2707 N Forrest St
Valdosta, GA 31602-2057

Mailing address

2707 N Forrest St
Valdosta, GA 31602-2057
Phone (229) 242-8852

Other identifiers 1

IdentifierTypeStateIssuer
00300121AMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1841324803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 N FORREST ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022057",
            "telephone_number": "229-242-8852",
            "fax_number": "229-247-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 N FORREST ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022057",
            "telephone_number": "229-242-8852",
            "fax_number": "229-247-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J. MIRATE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "MIRATE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-242-8852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "21261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00300121A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.