| Mira Desai, AGPCNP | |
|
1825 Rockbridge Rd Ste 15b, Stone Mountain, GA 30087-3306 | |
| (470) 444-3134 | |
| (470) 276-4370 |
| Full Name | Mira Desai |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 1825 Rockbridge Rd Ste 15b, Stone Mountain, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538559190 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osh-mi Physicians Group Pc | 7810282191 | 157 |
| Osh-mi Physicians Group Pc | 7810282191 | 157 |
| Griffin Myers Medical Pc | 5294145017 | 72 |
| Oak Street Health Physicians Group Of South Carolina Llc | 3375959075 | 27 |
| Osh-mi Physicians Group Pc | 7810282191 | 157 |
| Osh - Pa Physicians Group, Pc | 7517213879 | 101 |
| Osh-in Physicians Group Pc | 6800100512 | 65 |
| Osh-va Physicians Group Pllc | 3274994470 | 17 |
| Entity Name | Osh-mi Physicians Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700236478 PECOS PAC ID: 7810282191 Enrollment ID: O20160825001362 |
| Mailing Address | Practice Location Address |
|---|---|
| Mira Desai, AGPCNP Po Box 746715, Atlanta, GA 30374-6715 Ph: (773) 352-1515 | Mira Desai, AGPCNP 1825 Rockbridge Rd Ste 15b, Stone Mountain, GA 30087-3306 Ph: (470) 444-3134 |
Wendy Woodward Schaal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5320 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-508-6499 | |
Julie Noelle Knisely, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5582 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-298-8998 | |
Nikeisha Clevia Oliver, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1227 Rockbridge Rd, Stone Mountain, GA 30087 Phone: 770-413-1476 | |
Andrea Zmaj, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083 Phone: 770-322-6161 | |
Mr. Justin Stewart Kitchens, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5405 Memorial Dr Ste D, Stone Mountain, GA 30083 Phone: 404-296-3800 Fax: 404-297-8753 | |
Marc Elie Cayemitte, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5462 Memorial Dr Ste 101, Stone Mountain, GA 30083 Phone: 470-544-0854 | |
Sherrie Melton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1183 S Hairston Rd Ste A, Stone Mountain, GA 30088 Phone: 404-296-8858 |