SON BANG MAI FNP
NPI 1174136071
Nurse Practitioner - Family in Riverdale, GA

Q: What is Son Mai's NPI number?

The NPI number for Son Mai is 1174136071. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Q: What is Son Mai's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Son Mai was last updated on September 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 28, 2020PECOS Enrolled

83 UPPER RIVERDALE RD SW STE 135, RIVERDALE, GA 30274(770) 907-7222 Get Directions Write a Review

NPPES record last updated: September 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2020, Aug 30, 2020 (2 updates tracked since 2020).

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About Son Bang Mai Fnp NPPES

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

SON BANG MAI FNP (NPI 1174136071) is an individual family provider in Riverdale, Georgia, licensed in Georgia (RN297370) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174136071

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameSON BANG MAICredential: FNP

Location Address83 UPPER RIVERDALE RD SW STE 135Riverdale, GA 30274-2631

Mailing Address83 Upper Riverdale Rd Sw Ste 135Riverdale, GA 30274-2631 · (770) 907-7222

Phone(770) 907-7222

Sole ProprietorNo

Enumeration DateAugust 28, 2020

Last NPPES UpdateSeptember 27, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2020

✔ NPI 1174136071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN297370

83 UPPER RIVERDALE RD SW STE 135, Riverdale, GA 30274

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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)

Son Bang Mai Fnp 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 30274 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers16 claims46 services$6.31 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers21 claims25 services$3.21 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ABBY JOHANNA BRITT CNM

Advanced Practice Midwife

83 UPPER RIVERDALE RD SW STE 135
RIVERDALE, GA 30274

Clayton County (770) 991-0778

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 Son Mai's NPI number?

The NPI number for Son Mai is 1174136071. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Son Mai located?

Son Mai practices at 83 Upper Riverdale Rd SW Ste 135, Riverdale, GA 30274. The listed phone number is (770) 907-7222.

What is Son Mai's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Son Mai enrolled in Medicare?

Yes. Son Mai is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Son Mai was last updated on September 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.