MRS. MIRANDI TAYLOR
NPI 1477419646
Nurse Practitioner in Douglas, GA
About Mrs. Mirandi Taylor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MIRANDI TAYLOR (NPI 1477419646) is an individual nurse practitioner in Douglas, Georgia, licensed in Georgia (NP289537) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
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
Mrs. Mirandi Taylor 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 Reassignment
Medicare enrollment records show Mirandi Taylor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hiram, GA 30141
- Reassigned Medicare billing, Georgia enrollment
- 551 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 31533 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DOUGLAS, GA 31533
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 Mirandi Taylor's NPI number?
The NPI number for Mirandi Taylor is 1477419646. It was assigned to this individual provider in the NPPES registry on December 31, 2025.
Where is Mirandi Taylor located?
Mirandi Taylor practices at 1101 Ocilla Rd, Douglas, GA 31533. The listed phone number is (912) 384-1900.
What is Mirandi Taylor's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mirandi Taylor enrolled in Medicare?
Yes. Mirandi Taylor 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 organization bills Medicare for Mirandi Taylor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mirandi Taylor reassigns Medicare benefits to Peachtree Immediate Care Fp, LLC (Hiram, GA). The 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 Mirandi Taylor'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 Mirandi Taylor was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mrs. Mirandi Taylor · NPI 1477419646
Nurse Practitioner physician in Douglas, Georgia. Individual provider, active in the CMS NPPES registry since December 31, 2025.
## Identity
- **NPI:** 1477419646 (Entity type: Individual)
- **Enumerated:** December 31, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** NP289537 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1101 OCILLA RD, Douglas, GA 31533-2262
- **Phone:** (912) 384-1900
## 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:** Peachtree Immediate Care Fp, LLC (NPI 1437194156, Hiram, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** December 31, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1477419646) · Data from the CMS NPPES public registry.