Active NPI
Donald J. Mirate, M.D., P.C.
- Ophthalmology Physician
- Valdosta, GA
National Provider Identifier
1841324803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 21261
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00300121A | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Ophthalmology Physician
- Valdosta, GA
- NPI 1568456770
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.