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MRS. MAMBOH NGUM YUFENYUY NP
NPI 1104174531
Nurse Practitioner - Adult Health in Duluth, GA

Active since August 15, 2012PECOS Enrolled
1657 SOUTHGATE MILL DR NW, DULUTH, GA 30096(678) 977-5976 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Mamboh Ngum Yufenyuy Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MAMBOH NGUM YUFENYUY NP (NPI 1104174531) is an individual adult health provider in Duluth, Georgia, licensed in Georgia (RN188604) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104174531
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. MAMBOH NGUM YUFENYUYCredential: NP
Location Address1657 SOUTHGATE MILL DR NWDuluth, GA 30096
Mailing Address1657 Southgate Mill Dr NwDuluth, GA 30096-8837 · (678) 977-5976
Phone(678) 977-5976
Sole ProprietorYes
Enumeration DateAugust 15, 2012
Last NPPES UpdateApril 12, 2022
NPPES CertifiedApril 12, 2022
✔ NPI 1104174531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · RN188604
Also ListedRegistered Nurse · Ambulatory CareTaxonomy 163WP2201X · License 17691 (TN)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN188604 (GA)
1657 SOUTHGATE MILL DR NW, Duluth, GA 30096
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mamboh Ngum Yufenyuy Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30096 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mamboh Yufenyuy's NPI number?

The NPI number for Mamboh Yufenyuy is 1104174531. It was assigned to this individual provider in the NPPES registry on August 15, 2012.

Where is Mamboh Yufenyuy located?

Mamboh Yufenyuy practices at 1657 Southgate Mill Dr NW, Duluth, GA 30096. The listed phone number is (678) 977-5976.

What is Mamboh Yufenyuy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Mamboh Yufenyuy enrolled in Medicare?

Yes. Mamboh Yufenyuy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mamboh Yufenyuy was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.