1. Home
  2. Directory
  3. Georgia
  4. Augusta
  5. Internal Medicine
  6. NPI Profile

DR. ALI MIRZA MD, MPH
NPI 1114769478
Internal Medicine in Augusta, GA

Active since June 08, 2024PECOS Enrolled
1459 LANEY WALKER BLVD, AUGUSTA, GA 30912(706) 721-0345 Get Directions Write a Review

NPPES record last updated: June 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ali Mirza Md, Mph NPPES

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

DR. ALI MIRZA MD, MPH (NPI 1114769478) is an individual internal medicine provider in Augusta, Georgia, licensed in Georgia (16491) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114769478
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ALI MIRZACredential: MD, MPH
Location Address1459 LANEY WALKER BLVDAugusta, GA 30912-0002
Mailing Address636 11th St Apt 2211Augusta, GA 30901-2189 · (803) 629-2343
Phone(706) 721-0345
Sole ProprietorNo
Enumeration DateJune 8, 2024
NPPES CertifiedJune 8, 2024
✔ NPI 1114769478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 16491
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1459 LANEY WALKER BLVD, Augusta, GA 30912
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 (PECOS)

Dr. Ali Mirza Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. STEVEN KENT NELSON DMD
Dentist (Prosthodontics)
1459 LANEY WALKER BLVD, AD1501
AUGUSTA, GA 30912
Richmond County (706) 721-0502
BRANDOL WOLFENBARGER
Pathology (Anatomic Pathology & Clinical Pathology)
1459 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-7005
DR. EDNA L PASHLEY DMD
Dentist (Pediatric Dentistry)
1459 LANEY WALKER BLVD, AD1501
AUGUSTA, GA 30912
Richmond County (706) 721-0502
WILLIAM HAINSWORTH TREDWELL MD
Student in an Organized Health Care Education/Training Program
1459 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (757) 668-7249
NEVA BIANCA HOPE DO
Emergency Medicine
1459 LANEY WALKER BLVD, AE 3046
AUGUSTA, GA 30912
Richmond County (706) 721-7005
ZACHARY MASSEY MD
Anesthesiology
1459 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-7005
DR. HUSSEIN KHARROUBI MD
Surgery
1459 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-7005
DR. AHMED KHOCHT DDS
Dentist (Periodontics)
1459 LANEY WALKER BLVD, AD1501
AUGUSTA, GA 30912
Richmond County (706) 721-0502

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 Ali Mirza's NPI number?

The NPI number for Ali Mirza is 1114769478. It was assigned to this individual provider in the NPPES registry on June 8, 2024.

Where is Ali Mirza located?

Ali Mirza practices at 1459 Laney Walker Blvd, Augusta, GA 30912. The listed phone number is (706) 721-0345.

What is Ali Mirza's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ali Mirza enrolled in Medicare?

Yes. Ali Mirza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ali Mirza was last updated on June 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.