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ANTHONY LOREN MIRANDA MD
NPI 1245499078
Internal Medicine in Jackson, GA

Active since June 06, 2008PECOS Enrolled
239 STONY BROOK CIR, JACKSON, GA 30233(209) 306-4796(478) 247-8448 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 21, 2024, Oct 5, 2021, Nov 24, 2015 (3 updates tracked since 2015).

About Anthony Loren Miranda Md NPPES

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

ANTHONY LOREN MIRANDA MD (NPI 1245499078) is an individual internal medicine provider in Jackson, Georgia, licensed in California (C165064) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245499078
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANTHONY LOREN MIRANDACredential: MD
Location Address239 STONY BROOK CIRJackson, GA 30233-4571
Mailing Address2660 W Covell BlvdDavis, CA 95616-5645 · (530) 747-3000
Phone(209) 306-4796
Fax(478) 247-8448
Sole ProprietorNo
Enumeration DateJune 6, 2008
Last NPPES UpdateNovember 21, 20243 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1245499078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · C165064✔ Licensed in GA · 070199✔ Licensed in FL · TPME1727
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.
239 STONY BROOK CIR, Jackson, GA 30233
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony Loren Miranda Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Anthony Miranda reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Southeast Permanente Medical Group
43 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821
Regents Of The University Of Ca
2,096 mi
Clinic/Center
10044 WOLF RD, #A
Grass Valley, CA 95949
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Regents Of The University Of California
  • 918 clinicians in this Medicare group
NPI 1194705731 (530) 268-9050
Circle Medical Care Of California
2,170 mi
Family Medicine
333 1ST ST STE A
San Francisco, CA 94105
  • Reassigned Medicare billing, California enrollment
  • 178 clinicians in this Medicare group
NPI 1134596091 (888) 803-3370

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 30233 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Anthony Miranda's NPI number?

The NPI number for Anthony Miranda is 1245499078. It was assigned to this individual provider in the NPPES registry on June 6, 2008.

Where is Anthony Miranda located?

Anthony Miranda practices at 239 Stony Brook Cir, Jackson, GA 30233. The listed phone number is (209) 306-4796.

What is Anthony Miranda's specialty?

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

Is Anthony Miranda enrolled in Medicare?

Yes. Anthony Miranda is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Anthony Miranda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Miranda reassigns Medicare benefits to 3 organizations: The Southeast Permanente Medical Group (Atlanta, GA), Regents Of The University Of Ca (Grass Valley, CA) and Circle Medical Care Of California (San Francisco, CA). 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 Anthony Miranda'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 Anthony Miranda was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.