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MS. MIRANDA FORDHAM BLAIS WHNP-BC
NPI 1639607625
Nurse Practitioner - Women's Health in Brookhaven, GA

Active since June 02, 2017PECOS Enrolled
92.26/100
CMS Quality Rating
3369 BUFORD HWY NE STE 810A, BROOKHAVEN, GA 30329(404) 321-4692 Get Directions Write a Review

NPPES record last updated: February 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 18, 2022, Jun 2, 2017 (2 updates tracked since 2017).

About Ms. Miranda Fordham Blais Whnp-bc NPPES

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

MS. MIRANDA FORDHAM BLAIS WHNP-BC (NPI 1639607625) is an individual women's health provider in Brookhaven, Georgia, licensed in Georgia (RN216488) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639607625
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMS. MIRANDA FORDHAM BLAISCredential: WHNP-BC
Location Address3369 BUFORD HWY NE STE 810ABrookhaven, GA 30329-1742
Mailing Address491 Park Valley Dr NwAtlanta, GA 30318-6251 · (706) 248-6020
Phone(404) 321-4692
Sole ProprietorNo
Enumeration DateJune 2, 2017
Last NPPES UpdateFebruary 18, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2022
✔ NPI 1639607625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in GA · RN216488
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License RN216488 (GA)
3369 BUFORD HWY NE STE 810A, Brookhaven, GA 30329
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Miranda Fordham Blais Whnp-bc 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 30329 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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 Miranda Blais's NPI number?

The NPI number for Miranda Blais is 1639607625. It was assigned to this individual provider in the NPPES registry on June 2, 2017.

Where is Miranda Blais located?

Miranda Blais practices at 3369 Buford Hwy NE Ste 810A, Brookhaven, GA 30329. The listed phone number is (404) 321-4692.

What is Miranda Blais's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Miranda Blais enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Miranda Blais was last updated on February 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.