P Praxis·MD
● Active Type 1 · Individual

Mira Desai, AGPCNP

Nurse Practitioner·Stone Mountain, GA· NPI 1538559190 · Enumerated 2015 · 11 years on NPI
Desai is 1 of 2 nurse practitioner providers in Stone Mountain and 1 of 280 in Georgia.
NPI age
11 years
Enumerated 2015-02-03
Primary specialty
Nurse Practitioner
Plus 4 subspecialties
Licensed in
IL, GA, RI, CT, VA
5 states
Status
Active
No deactivations on record
Last NPPES update
2025-06-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 280 active nurse practitioner providers in Georgia.

NPI age
11 years
↑ 4 yr above median (7 yr)
State licenses
5 states
Top 88% — 11% of peers are multi-state
Subspecialties
1
In the 35% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-02Enumerated in NPPES
2015 2026

Where they practice

Practice location
1825 Rockbridge Rd Ste 15b
Stone Mountain, GA 300873306
📞 4704443134fax 4702764370
Mailing address
Po Box 746715
Atlanta, GA 303746715
📞 7733521515fax 3129290373

Additional practice locations

7 secondary locations on file with NPPES.

Location 2
2000 N Main St Ste A
Waterbury, CT 067042364
📞 2039518306
Location 3
3621 Aramingo Ave Ste 5c
Philadelphia, PA 191344607
📞 2154447472
Location 4
3046 127th St
Blue Island, IL 604061827
📞 7083777920fax 7089300414
Location 5
2240 E 53rd St # B-1
Indianapolis, IN 462203479
📞 3179337047
Location 6
300 Quaker Ln # C2-4
Warwick, RI 028860159
📞 4012335051
Location 7
11260 E Jefferson Ave
Detroit, MI 482143320
📞 3137490148fax 3132633298
Location 8
5246 Chamberlayne Rd
Richmond, VA 232272950
📞 8049137029

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    IL license #277.002161RI license #APRN03074CT license #13875VA license #0001299163 taxonomy 363LG0600X
  • Nurse Practitioner
    Definition to come...
    GA license #RN309281 taxonomy 363LA2200X

Practice context

Part of a multi-provider practice. 16 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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