Mir Healthcare Services, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MIR HEALTHCARE SERVICES, LLC

Practice address

321 Commercial Dr
Savannah, GA 31406-3662

Phone

(912) 616-8033

Fax

(912) 216-3436

NPI assigned

Jun 12, 2023

Last updated

Jul 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Wagner, FNPNPI 1659744316

Title

Provider

Phone

(912) 616-8033

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, and the practitioner matching its NPPES authorized official.

• Kelly Ann Wagner, FNP-C, APRN

  • Family Nurse Practitioner
  • Savannah, GA
  • NPI 1659744316
  NPD Authorized official

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1841974748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 S CROMWELL RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314104421",
            "telephone_number": "912-616-8033",
            "fax_number": "912-216-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 COMMERCIAL DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063662",
            "telephone_number": "912-616-8033",
            "fax_number": "912-216-3436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6711 Forest Park Dr",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314062507",
            "country_code": "US",
            "telephone_number": "912-616-8033",
            "fax_number": "912-216-3436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIR HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "912-616-8033",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minis Counseling LLC
• Margaret Amelia Minis, LPC
• Edward Wayne Minor, LCSW
• Raygan Minshew
• Timothy John Minton, MD
• Aryana Alexis Misaghi, MD
• Amanda Misco
• Matthew T Mishoe, D.O.
• Heather Missroon, CCC-SLP
• Rachel Missroon

• Primary Care Clinic/Center in Savannah, GA
• Providers in Savannah, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.