What is Mirakle Avery's NPI number?

Mirakle Avery's National Provider Identifier (NPI) is 1013772391, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mirakle Avery's specialty?

Mirakle Avery is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is Mirakle Avery located?

Mirakle Avery's practice location on file with NPPES is 2611 Forest Dr Ste 200, Columbia, SC 29204-2371.

What is Mirakle Avery's phone number?

The practice phone number listed in the NPPES registry for Mirakle Avery is (803) 799-3263.

Is Mirakle Avery's NPI active?

Yes — Mirakle Avery's NPI (1013772391) is active in the NPPES registry as of the last update on 2026-01-15.

IndividualActive

Mirakle Avery

NPI 1013772391 · Physician Assistant · Columbia, SC

Mirakle Avery is a Physician Assistant provider in Columbia, SC (NPI 1013772391).

Provider details

NPI number: 1013772391
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Sex: Female
Sole proprietor: No
License: 6095 (SC)

Specialties & taxonomies

Physician AssistantPrimary363A00000XLicense 6095 (SC)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Established profile(57/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2611 Forest Dr Ste 200

Columbia, SC 29204-2371

Phone: (803) 799-3263

Street-level locationGet directions

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Mailing address