NPI age
7 years
Enumerated 2018-07-17
● Active
Type 1 · Individual
Lacey Ashton Miranda, PA
Miranda is 1 of 55 physician assistant providers in Gainesville and 1 of 640 in Georgia.
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-09-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 640 active physician assistant providers in Georgia.
NPI age
7 years
↓ 6 yr below median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2018 → 2026
2018-07Enumerated in NPPES
2018
2026
Where they practice
Practice location
1075 Jesse Jewell Pkwy Ne Ste B
Gainesville, GA 305013814
Mailing address
Po Box 742616
Atlanta, GA 303742616
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.