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

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: July 26, 2026.

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, maintains 3 additional practice locations, and is a graduate of Kent State University College Of Podiatric Medicine (1992).

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
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

Secondary Practice Locations 3

Location 1425 Forest Pkwy Ste 101Forest Park, GA 30297-2135
Location 2425 Forest Pkwy, Suite 101Forest Park, GA 30297-2185 · Phone (404) 363-9944 · Fax (404) 363-9951
Location 31109 Eagles Landing PkwyStockbridge, GA 30281-6394 · Phone (404) 363-9944 · Fax (770) 507-8706

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 22

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.
400 services186 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.
280 services49 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
172 services128 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.
113 services93 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.
113 services112 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
99 services77 patients

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
Quality80.38
Promoting Interoperability100
Improvement Activities40

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.

Clinic/Center (Physical Therapy)
4877 BILL GARDNER PKWY
LOCUST GROVE, GA 30248
Physical Therapist
4877 BILL GARDNER PKWY
LOCUST GROVE, GA 30248

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.

When was this NPI record last updated?

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