DR. PRAYA MAM D.P.M.
NPI 1710964408
Podiatrist - Foot & Ankle Surgery in Locust Grove, GA

Q: What is Praya Mam's NPI number?

The NPI number for Praya Mam is 1710964408. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Q: What is Praya Mam's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Praya Mam was last updated on July 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 December 23, 2005PECOS EnrolledAccepts Medicare Assignment

92.93/100

CMS Quality Rating

4877 BILL GARDNER PKWY, LOCUST GROVE, GA 30248(404) 363-9944(678) 432-7040 Get Directions Write a Review

NPPES record last updated: July 23, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Praya Mam D.p.m. NPPES

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

DR. PRAYA MAM D.P.M. (NPI 1710964408) is an individual foot & ankle surgery provider in Locust Grove, Georgia, licensed in Georgia (00723) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1710964408

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. PRAYA MAMCredential: D.P.M.

Location Address4877 BILL GARDNER PKWYLocust Grove, GA 30248

Mailing Address425 Forest Pkwy, Suite 101Forest Park, GA 30297-2185 · (404) 363-9944 · Fax (404) 363-9951

Phone(404) 363-9944

Fax(678) 432-7040

Sole ProprietorNo

Medical School CMSKent State University College Of Podiatric MedicineGraduated 1992

Enumeration DateDecember 23, 2005

Last NPPES UpdateJuly 23, 2018

✔ NPI 1710964408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in GA · 00723

4877 BILL GARDNER PKWY, Locust Grove, GA 30248

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Secondary Practice Locations 3

Location 1425 Forest Pkwy Ste 101Forest Park, GA 30297-2135

Location 21109 Eagles Landing PkwyStockbridge, GA 30281-6394 · Phone (404) 363-9944 · Fax (770) 507-8706

Location 3425 Forest Pkwy, Suite 101Forest Park, GA 30297-2185 · Phone (404) 363-9944 · Fax (404) 363-9951

Other Identifiers 1

Medicaid00614105AGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Praya Mam D.p.m. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921172560

PECOS Enrollment IDI20080731000136

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.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

350 services177 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

221 services40 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

164 services108 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

155 services117 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

118 services98 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

111 services89 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

89 services88 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

88 services60 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

51 services32 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

51 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

51 services51 patients

Trimming of fingernails or toenails 11719

Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.

50 services25 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

50 services35 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

38 services38 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

23 services21 patients

Application of vein wound compression bandages on lower leg, ankle, and foot 29581

Compression bandages are applied to your lower leg, ankle, and foot to promote healing of vein wounds. The bandages apply pressure to improve blood flow, reduce swelling, and accelerate wound healing. It's a safe, non-invasive treatment.

22 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.38

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

2 suppliers12 claims24 services$59.34 avg. paid by Medicare

For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512

DME-Orthotic Devices · category DF000N

2 suppliers12 claims68 services$25.02 avg. paid by Medicare

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361

DME-Orthotic Devices · category DF003N

1 supplier13 claims15 services$217.89 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 2

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

PHYSIOTHERAPY ASSOCIATES INC

Clinic/Center (Physical Therapy)

4877 BILL GARDNER PKWY
LOCUST GROVE, GA 30248

Henry County (678) 583-5413

MS. MONICA MONE' SMITH DPT

Physical Therapist

4877 BILL GARDNER PKWY
LOCUST GROVE, GA 30248

Henry County (404) 367-2097

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 Praya Mam's NPI number?

The NPI number for Praya Mam is 1710964408. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Praya Mam located?

Praya Mam practices at 4877 Bill Gardner Pkwy, Locust Grove, GA 30248. The listed phone number is (404) 363-9944.

What is Praya Mam's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Praya Mam enrolled in Medicare?

Yes. Praya Mam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Praya Mam affiliated with any hospitals?

According to CMS data, Praya Mam is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Praya Mam was last updated on July 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.