SAM YEASANG SON MD
NPI 1720724966
Student in an Organized Health Care Education/Training Program in Atlanta, GA
About Sam Yeasang Son Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAM YEASANG SON MD (NPI 1720724966) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sam Yeasang Son Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
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 Sam Son's NPI number?
The NPI number for Sam Son is 1720724966. It was assigned to this individual provider in the NPPES registry on May 10, 2022.
Where is Sam Son located?
Sam Son practices at 1364 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 778-2626.
What is Sam Son's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Sam Son enrolled in Medicare?
Yes. Sam Son is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Sam Son was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.
# Sam Yeasang Son, MD · NPI 1720724966
Student in an Organized Health Care Education/Training Program provider in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since May 10, 2022.
## Identity
- **NPI:** 1720724966 (Entity type: Individual)
- **Enumerated:** May 10, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1364 CLIFTON RD NE, Atlanta, GA 30322-1059
- **Phone:** (404) 778-2626
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1720724966) · Data from the CMS NPPES public registry.