P Praxis·MD
● Active Type 1 · Individual

Jose Mira Hernandez, M.D.

Pathology·Brunswick, GA· NPI 1497739130 · Enumerated 2005 · 20 years on NPI
Mira Hernandez is 1 of 20 pathology providers in Brunswick and 1 of 483 in Georgia.
NPI age
20 years
Enumerated 2005-12-06
Primary specialty
Pathology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-04-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 483 active pathology providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-12Enumerated in NPPES
2005 2026

Where they practice

Practice location
3011 Hampton Ave
Brunswick, GA 315204264
📞 9122612669fax 9122610561
Mailing address
Po Box 30309
Charleston, SC 294170309
📞 8435549300fax 8435668780

Specialties

  • Pathology Primary
    A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses...
    GA license #052133 taxonomy 207ZP0102X

Identifiers

TypeValueNotes
05 (GA) 000970263A

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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