JOSE MIRA HERNANDEZ M.D.
NPI 1497739130
Pathology - Anatomic Pathology & Clinical Pathology in Brunswick, GA

Q: What is Jose Mira Hernandez's NPI number?

The NPI number for Jose Mira Hernandez is 1497739130. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Q: What is Jose Mira Hernandez's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since December 06, 2005

3011 HAMPTON AVE, BRUNSWICK, GA 31520(912) 261-2669(912) 261-0561 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jose Mira Hernandez M.d. NPPES

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

JOSE MIRA HERNANDEZ M.D. (NPI 1497739130) is an individual anatomic pathology & clinical pathology provider in Brunswick, Georgia, licensed in Georgia (052133) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1497739130

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameJOSE MIRA HERNANDEZCredential: M.D.

Location Address3011 HAMPTON AVEBrunswick, GA 31520-4264

Mailing AddressPo Box 30309Charleston, SC 29417-0309 · (843) 554-9300 · Fax (843) 566-8780

Phone(912) 261-2669

Fax(912) 261-0561

Sole ProprietorNo

Enumeration DateDecember 6, 2005

Last NPPES UpdateApril 29, 2008

✔ NPI 1497739130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in GA · 052133

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

3011 HAMPTON AVE, Brunswick, GA 31520

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Other Identifiers 4

Medicare UPINE62620GA

Medicaid000970263AGA

Medicare PIN22BDDJNGA

Medicare PIN220033320GA

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.

JANET O. HON MD

Pathology (Anatomic Pathology & Clinical Pathology)

3011 HAMPTON AVE, SEPA
BRUNSWICK, GA 31520

Glynn County (912) 261-2669

ROSE P DRAVIAM M. D.

Pathology (Anatomic Pathology & Clinical Pathology)

3011 HAMPTON AVE
BRUNSWICK, GA 31520

Glynn County (912) 261-2669

DR. JANNA MARIE SUMMERALL-SMITH M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

3011 HAMPTON AVE
BRUNSWICK, GA 31520

Glynn County (912) 261-2669

DANIEL ADRIAN FAJARDO MD

Pathology (Anatomic Pathology & Clinical Pathology)

3011 HAMPTON AVE
BRUNSWICK, GA 31520

Glynn County (912) 261-2669

SOUTHEASTERN PATHOLOGY ASSOCIATE

General Acute Care Hospital

3011 HAMPTON AVE
BRUNSWICK, GA 31520

Glynn County (888) 261-2671

TIMOTHY L MCINTIRE M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

3011 HAMPTON AVE, SUITE 200
BRUNSWICK, GA 31520

Glynn County (912) 261-2669

ROGER B LANE JR. M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

3011 HAMPTON AVE
BRUNSWICK, GA 31520

Glynn County (912) 261-2669

MARIAN FRANCES PENNINGTON M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

3011 HAMPTON AVE
BRUNSWICK, GA 31520

Glynn County (912) 261-2669

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 Jose Mira Hernandez's NPI number?

The NPI number for Jose Mira Hernandez is 1497739130. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Jose Mira Hernandez located?

Jose Mira Hernandez practices at 3011 Hampton Ave, Brunswick, GA 31520. The listed phone number is (912) 261-2669.

What is Jose Mira Hernandez's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

When was this NPI record last updated?

The NPPES record for Jose Mira Hernandez was last updated on April 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.