LACEY ASHTON MIRANDA PA
NPI 1083190698
Physician Assistant - Surgical in Gainesville, GA

Q: What is Lacey Miranda's NPI number?

The NPI number for Lacey Miranda is 1083190698. It was assigned to this individual provider in the NPPES registry on July 17, 2018.

Q: What is Lacey Miranda's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Lacey Miranda was last updated on September 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 17, 2018PECOS EnrolledAccepts Medicare Assignment

82.55/100

CMS Quality Rating

1075 JESSE JEWELL PKWY NE STE B, GAINESVILLE, GA 30501(770) 219-9200(770) 219-9274 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2018, Jul 17, 2018 (2 updates tracked since 2018).

On this page

About Lacey Ashton Miranda Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACEY ASHTON MIRANDA PA (NPI 1083190698) is an individual surgical provider in Gainesville, Georgia, licensed in Georgia (008939) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1083190698

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameLACEY ASHTON MIRANDACredential: PA

Location Address1075 JESSE JEWELL PKWY NE STE BGainesville, GA 30501-3814

Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420 · Fax (770) 219-8440

Phone(770) 219-9200

Fax(770) 219-9274

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 17, 2018

Last NPPES UpdateSeptember 24, 20182 updates tracked since enumeration

✔ NPI 1083190698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in GA · 008939

1075 JESSE JEWELL PKWY NE STE B, Gainesville, GA 30501

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lacey Ashton Miranda Pa 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.

PECOS PAC ID3678810801

PECOS Enrollment IDI20190125003136

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

71 services61 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

71 services39 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services20 patients

Imaging of lymph nodes during surgery 38900

Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.

13 services13 patients

Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less 58571

This procedure involves the removal of certain internal structures through small incisions in the abdomen, using a special tool called an endoscope. It's performed when these structures are causing health issues. The weight reference (250.0 g or less) relates to the size of the structures being removed.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number110029

Location743 Spring StreetGainesville, GA 30501 · Hall County

Emergency services Birthing friendly

Northeast Georgia Medical Center Habersham

Acute Care Hospitals · Demorest, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110041

Location541 Historic Highway 441-NorthDemorest, GA 30535 · Habersham County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.14

Promoting Interoperability

100

Improvement Activities

Cost

60.7

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NERMIN TEPIC

Physician Assistant (Surgical)

1075 JESSE JEWELL PKWY NE STE B
GAINESVILLE, GA 30501

Hall County (770) 219-9200

DR. JACKSON CAMPBELL HORTENSTINE MD

Psychiatry & Neurology (Psychiatry)

1075 JESSE JEWELL PKWY NE STE B
GAINESVILLE, GA 30501

Hall County (770) 219-5407

SHEILA ARMSTRONG RN,RNFA,CNOR

Registered Nurse (Medical-Surgical)

1075 JESSE JEWELL PKWY NE STE B, SUITE B
GAINESVILLE, GA 30501

Hall County (770) 536-5733

JENNIFER WAY RD, LD

Dietitian, Registered

1075 JESSE JEWELL PKWY NE STE B
GAINESVILLE, GA 30501

Hall County (770) 219-9209

NORTHEAST GEORGIA SURGICAL ASSOCIATES PC

Specialist

1075 JESSE JEWELL PKWY NE STE B
GAINESVILLE, GA 30501

Hall County (770) 536-5733

MS. TAMARA ENGLISH LPC

Counselor (Mental Health)

1075 JESSE JEWELL PKWY NE STE B
GAINESVILLE, GA 30501

Hall County (770) 219-5407

KALEIGH LOWE HOLMES PMHNP-C

Nurse Practitioner (Psychiatric/Mental Health)

1075 JESSE JEWELL PKWY NE STE B
GAINESVILLE, GA 30501

Hall County (770) 219-5407

EMILY ANNE BLACK MD

Surgery

1075 JESSE JEWELL PKWY NE STE B
GAINESVILLE, GA 30501

Hall County (770) 219-9200

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 Lacey Miranda's NPI number?

The NPI number for Lacey Miranda is 1083190698. It was assigned to this individual provider in the NPPES registry on July 17, 2018.

Where is Lacey Miranda located?

Lacey Miranda practices at 1075 Jesse Jewell Pkwy NE Ste B, Gainesville, GA 30501. The listed phone number is (770) 219-9200.

What is Lacey Miranda's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Lacey Miranda enrolled in Medicare?

Yes. Lacey Miranda 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.

Is Lacey Miranda affiliated with any hospitals?

According to CMS data, Lacey Miranda is affiliated with Northeast Georgia Medical Center, Inc and Northeast Georgia Medical Center Habersham.

When was this NPI record last updated?

The NPPES record for Lacey Miranda was last updated on September 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.