MIJIN RA MD
NPI 1710747969
Family Medicine in Macon, GA

Q: What is Mijin Ra's NPI number?

The NPI number for Mijin Ra is 1710747969. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Q: What is Mijin Ra's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mijin Ra was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 21, 2024PECOS Enrolled

777 HEMLOCK ST, MSC #165, MACON, GA 31201(478) 633-1634(478) 633-1578 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Mijin Ra Md NPPES

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

MIJIN RA MD (NPI 1710747969) is an individual family medicine provider in Macon, Georgia, licensed in Georgia (16347) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710747969

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMIJIN RACredential: MD

Location Address777 HEMLOCK ST, MSC #165Macon, GA 31201-2102

Mailing Address777 Hemlock St, Msc #165Macon, GA 31201-2102 · (478) 633-1634 · Fax (478) 633-1578

Phone(478) 633-1634

Fax(478) 633-1578

Sole ProprietorNo

Enumeration DateMarch 21, 2024

Last NPPES UpdateJune 17, 2024

NPPES CertifiedJune 17, 2024

✔ NPI 1710747969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 16347

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

777 HEMLOCK ST, Macon, GA 31201

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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)

Mijin Ra Md 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 31201 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

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.

LAUREN WAGNER D.O.

Pediatrics

777 HEMLOCK ST, MSC 42
MACON, GA 31201

Bibb County (478) 633-7600

AMELIA CATHERINE LLERENA

Obstetrics & Gynecology

777 HEMLOCK ST
MACON, GA 31201

Bibb County (478) 633-6701

JO BETH ROBERTS NP

Nurse Practitioner (Pediatrics)

777 HEMLOCK ST
MACON, GA 31201

Bibb County (478) 633-6706

RONALD KNIGHTS PHRAM. D.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

777 HEMLOCK ST
MACON, GA 31201

Bibb County (478) 633-1434

MR. MATTHEW MICHAEL MCCRORY AGACNP-BC

Nurse Practitioner (Acute Care)

777 HEMLOCK ST
MACON, GA 31201

Bibb County (478) 633-1000

MRS. DENA D MCKENNA PAAA

Anesthesiologist Assistant

777 HEMLOCK ST, MSC10
MACON, GA 31201

Bibb County (478) 633-1000

LOWELL CLARK MD

Pediatrics (Pediatric Critical Care Medicine)

777 HEMLOCK ST, MSC 83
MACON, GA 31201

Bibb County (478) 633-7140

RICHARD A SCHERER CRNA

Nurse Anesthetist, Certified Registered

777 HEMLOCK ST
MACON, GA 31201

Bibb County (866) 507-5244

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 Mijin Ra's NPI number?

The NPI number for Mijin Ra is 1710747969. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Mijin Ra located?

Mijin Ra practices at 777 Hemlock St Msc #165, Macon, GA 31201. The listed phone number is (478) 633-1634.

What is Mijin Ra's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mijin Ra enrolled in Medicare?

Yes. Mijin Ra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mijin Ra was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.