MIRA DESAI AGPCNP
NPI 1538559190
Nurse Practitioner - Gerontology in Stone Mountain, GA

Active since February 03, 2015PECOS Enrolled
1825 ROCKBRIDGE RD STE 15B, STONE MOUNTAIN, GA 30087(470) 444-3134(470) 276-4370 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 6, 2025, May 15, 2023, Jun 6, 2022 and 3 more (6 updates tracked since 2020).

About Mira Desai Agpcnp NPPES

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

MIRA DESAI AGPCNP (NPI 1538559190) is an individual gerontology provider in Stone Mountain, Georgia, licensed in Illinois (277.002161) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1538559190
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMIRA DESAICredential: AGPCNP
Location Address1825 ROCKBRIDGE RD STE 15BStone Mountain, GA 30087-3306
Mailing AddressPo Box 746715Atlanta, GA 30374-6715 · (773) 352-1515 · Fax (312) 929-0373
Fax(470) 276-4370
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 3, 2015
Last NPPES UpdateJune 6, 20256 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
NPI 1538559190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses Licensed in IL · 277.002161 Licensed in RI · APRN03074 Licensed in CT · 13875 Licensed in VA · 0001299163
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN309281 (GA)
1825 ROCKBRIDGE RD STE 15B, Stone Mountain, GA 30087

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mira Desai Agpcnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800104787
PECOS Enrollment IDI20201202002478, I20210127003198, I20220805002982, I20220907000246, I20221017001493, I20230328002898, I20230530001651, I20241120002384
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 4

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.

Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
25 services25 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
25 services23 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services17 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30087 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Family)
1825 ROCKBRIDGE RD STE 15B
STONE MOUNTAIN, GA 30087
Nurse Practitioner (Family)
1825 ROCKBRIDGE RD STE 15B
STONE MOUNTAIN, GA 30087
Nurse Practitioner (Family)
1825 ROCKBRIDGE RD STE 15B
STONE MOUNTAIN, GA 30087
Nurse Practitioner (Family)
1825 ROCKBRIDGE RD STE 15B
STONE MOUNTAIN, GA 30087
Nurse Practitioner (Family)
1825 ROCKBRIDGE RD STE 15B
STONE MOUNTAIN, GA 30087
Nurse Practitioner (Family)
1825 ROCKBRIDGE RD STE 15B
STONE MOUNTAIN, GA 30087
Nurse Practitioner (Family)
1825 ROCKBRIDGE RD STE 15B
STONE MOUNTAIN, GA 30087
Counselor (Professional)
1825 ROCKBRIDGE RD STE 15B
STONE MOUNTAIN, GA 30087

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 Mira Desai's NPI number?

The NPI number for Mira Desai is 1538559190. It was assigned to this individual provider in the NPPES registry on February 3, 2015.

Where is Mira Desai located?

Mira Desai practices at 1825 Rockbridge Rd Ste 15B, Stone Mountain, GA 30087. The listed phone number is (470) 444-3134.

What is Mira Desai's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Mira Desai enrolled in Medicare?

Yes. Mira Desai is registered in the Medicare PECOS enrollment system.

What insurance does Mira Desai accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mira Desai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mira Desai was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.