MIMI KIM SONG MSN, CNM
NPI 1609398155
Advanced Practice Midwife in Johns Creek, GA

Q: What is Mimi Song's NPI number?

The NPI number for Mimi Song is 1609398155. It was assigned to this individual provider in the NPPES registry on July 15, 2017.

Q: What is Mimi Song's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mimi Song was last updated on February 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 15, 2017PECOS Enrolled

10692 MEDLOCK BRIDGE RD STE 100A, JOHNS CREEK, GA 30097(404) 446-2496 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 17, 2021, Jul 15, 2017 (2 updates tracked since 2017).

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About Mimi Kim Song Msn, Cnm NPPES

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

MIMI KIM SONG MSN, CNM (NPI 1609398155) is an individual advanced practice midwife in Johns Creek, Georgia, licensed in Georgia (RN213220) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Marietta.

NPPES Registry Identity

NPI1609398155

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameMIMI KIM SONGCredential: MSN, CNM

Location Address10692 MEDLOCK BRIDGE RD STE 100AJohns Creek, GA 30097-8497

Mailing Address2615 Stonehill DrCumming, GA 30041-9305 · (678) 793-0089

Phone(404) 446-2496

Sole ProprietorNo

Enumeration DateJuly 15, 2017

Last NPPES UpdateFebruary 17, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2021

✔ NPI 1609398155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in GA · RN213220

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License RN213220 (GA)

10692 MEDLOCK BRIDGE RD STE 100A, Johns Creek, GA 30097

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Secondary Practice Location 1

Location 1699 Church St NE Ste 300Marietta, GA 30060-1122 · Phone (770) 422-8700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mimi Kim Song Msn, Cnm 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 30097 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

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

KERA NJENGA

Nurse Practitioner (Women's Health)