RONALD JAMES MIRENDA FNP
NPI 1023599404
Nurse Practitioner - Family in Winder, GA
About Ronald James Mirenda Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RONALD JAMES MIRENDA FNP (NPI 1023599404) is an individual family provider in Winder, Georgia, licensed in Georgia (RN220139) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ronald James Mirenda Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Ronald Mirenda reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hiram, GA 30141
- Reassigned Medicare billing, Georgia enrollment
- 551 clinicians in this Medicare group
Morton Grove, IL 60053
- Reassigned Medicare billing, Georgia enrollment
- 25 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30680 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ronald Mirenda's NPI number?
The NPI number for Ronald Mirenda is 1023599404. It was assigned to this individual provider in the NPPES registry on August 24, 2018.
Where is Ronald Mirenda located?
Ronald Mirenda practices at 299 N Broad St, Winder, GA 30680. The listed phone number is (770) 867-2120.
What is Ronald Mirenda's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ronald Mirenda enrolled in Medicare?
Yes. Ronald Mirenda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ronald Mirenda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Mirenda reassigns Medicare benefits to 2 organizations: Peachtree Immediate Care Fp, LLC (Hiram, GA) and Physiatry Consultants Of Ga LLC (Morton Grove, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ronald Mirenda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ronald Mirenda was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ronald James Mirenda, FNP · NPI 1023599404
Family physician in Winder, Georgia. Individual provider, active in the CMS NPPES registry since August 24, 2018.
## Identity
- **NPI:** 1023599404 (Entity type: Individual)
- **Enumerated:** August 24, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN220139 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 299 N BROAD ST, Winder, GA 30680
- **Phone:** (770) 867-2120 · **Fax:** (770) 867-2140
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Peachtree Immediate Care Fp, LLC (NPI 1437194156, Hiram, GA); Physiatry Consultants Of Ga LLC (NPI 1609468248, Morton Grove, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 31, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1023599404) · Data from the CMS NPPES public registry.