NPI age
6 years
Enumerated 2020-02-21
● Active
Type 1 · Individual
Mark Miranda, CRNA
Miranda is 1 of 13 nurse anesthetist, certified registered providers in Fort Gordon and 1 of 2157 in Georgia.
Primary specialty
Nurse Anesthetist, Certified Registered
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-07-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2157 active nurse anesthetist, certified registered providers in Georgia.
NPI age
6 years
↓ 9 yr below median (15 yr)
State licenses
1 state
15% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-02Enumerated in NPPES
2020
2026
Where they practice
Practice location
300 E Hospital Rd
Fort Gordon, GA 30905
Mailing address
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 782344504
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 782344504
Specialties
-
Nurse Anesthetist, Certified Registered Primary(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
Practice context
Part of a multi-provider practice. 27 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 →
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