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Mirandi Taylor

NPI 1477419646ActiveIndividual· Nurse Practitioner· Douglas, GA

Nurse Practitioner with Peachtree Immediate Care Fp, LLC, practicing in Douglas, Georgia. Enrolled in Medicare as practitioner - nurse practitioner.

Overview

NPI1477419646
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedDec 31, 2025
Last updated in NPPESDec 31, 2025
Certified by providerDec 31, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000XNP289537GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (GA)

Medicare sources and data years

Education and affiliations

Graduation year2025
Medicare specialtyNurse Practitioner

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other nurse practitioners in Douglas

All 15 nurse practitioners in Douglas · All nurse practitioners in Georgia