DR. DWIGHT PAUL MIRMOW (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1730173493

DR. DWIGHT PAUL MIRMOW (M.D.) is a healthcare provider. based in Augusta, Georgia. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 048805 (GA). The NPI Number for DR. DWIGHT PAUL MIRMOW (M.D.) is 1730173493

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. DWIGHT PAUL MIRMOW (M.D.)
NPI
1730173493
Phone
(706) 481-7473
Address
2321 KINGS WAY
Enumeration Date
8 September 2005
Last Update Date
1 February 2017

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Secondary Phone
8437976800
Graduation Year
1990 (36 years ago)
PAC ID
6204732688
Group Practice PAC ID
8123015617
Professional Enrollment ID
I20050913000462
Address ID
SC294069165NO2671XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

391 PATHOLOGY in GA

Provider Addresses for DR. DWIGHT PAUL MIRMOW (M.D.)

  • 2321, Kings Way, Augusta, Richmond County, Georgia, 30904, United States

    LABORATORY MEDICINE, PC

    AUGUSTA, GA 30904

    Phone: (706) 481-7473

    Fax: (706) 481-7868

    Type: Mailing

  • 2260 LURIGHTSBORO RD

    LABORATORY MEDICINE, PC

    AUGUSTA, GA 30904

    Phone: (706) 481-7473

    Fax: (706) 481-7868

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050913000462IPathologySCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity4,5091,121$0
88312Special stained specimen slides to identify organisms including interpretation and report2,998698$0
88313Special stained specimen slides to examine tissue including interpretation and report2,979695$0
View full utilization report →

Insurance plans in this area (ZIP 30904)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123015617View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineSC
G A S T R O E N T E R O L O G YSC
G A S T R O E N T E R O L O G YSC
G A S T R O E N T E R O L O G YSC

Reviews

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Frequently asked questions

Does DR. DWIGHT PAUL MIRMOW (M.D.) have a public NPI I can cite?
Public records show DR. DWIGHT PAUL MIRMOW (M.D.) under NPI 1730173493.
Should I treat DR. DWIGHT PAUL MIRMOW (M.D.) as an active provider?
Patients and plans typically see DR. DWIGHT PAUL MIRMOW (M.D.) as active in the national extract.
Which specialty label fits DR. DWIGHT PAUL MIRMOW (M.D.)?
NPPES ties DR. DWIGHT PAUL MIRMOW (M.D.) to Anatomic Pathology & Clinical Pathology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. DWIGHT PAUL MIRMOW (M.D.) in Augusta, Georgia?
For routing, start with Augusta, Georgia for DR. DWIGHT PAUL MIRMOW (M.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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