IndividualActive
Anthony Miranda, MD
NPI 1245499078 · Internal Medicine Physician · Jackson, GA
Provider details
- NPI number
- 1245499078
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 070199 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
239 Stony Brook Cir
Jackson, GA 30233-4571
Phone: (209) 306-4796
Fax: (478) 247-8448
Approximate (ZIP-level) locationGet directions
Mailing address
2660 W Covell Blvd
Davis, CA 95616-5645
Registry dates
- Enumerated
- 2008-06-06
- Last updated
- 2024-11-21
- Certified
- 2024-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.