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MIRIAM NJI AIWOKEH MBONG
NPI 1720781834
Student in an Organized Health Care Education/Training Program in Braselton, GA

Active since March 27, 2023PECOS Enrolled
1515 RIVER PL STE 200, BRASELTON, GA 30517(770) 848-6140 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Miriam Nji Aiwokeh Mbong NPPES

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

MIRIAM NJI AIWOKEH MBONG (NPI 1720781834) is an individual student in an organized health care education/training program in Braselton, Georgia and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720781834
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMIRIAM NJI AIWOKEH MBONG
Location Address1515 RIVER PL STE 200Braselton, GA 30517-5603
Mailing Address743 Spring St Ne Ste 710Gainesville, GA 30501-3715 · (770) 219-8730
Phone(770) 848-6140
Sole ProprietorNo
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 26, 2023
✔ NPI 1720781834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1515 RIVER PL STE 200, Braselton, GA 30517
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miriam Nji Aiwokeh Mbong 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.

Medicare Billing Reassignment

Medicare enrollment records show Miriam Nji Aiwokeh Mbong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Southeast Permanente Medical Group
36 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. YOUJIN YOO MD
Student in an Organized Health Care Education/Training Program
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-6140
NATHAN QUN ZHANG DO
Student in an Organized Health Care Education/Training Program
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-6140
ANAMARIA MCCLAUDE FNP
Nurse Practitioner (Family)
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-9310
MRS. CRYSTAL VANESA AYAZO MD
Student in an Organized Health Care Education/Training Program
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-6140
DR. ALLEN BARBAROVICH MD
Student in an Organized Health Care Education/Training Program
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-6140
DR. DONATINE KWESI ODUAM AFFUL DO
Student in an Organized Health Care Education/Training Program
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-6140
DR. JEREMIAH HUANG D.O.
Internal Medicine
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-6140
MRS. MUTALE PAULINE BINGLEY LCSW
Social Worker (Clinical)
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-6140

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 Miriam Nji Aiwokeh Mbong's NPI number?

The NPI number for Miriam Nji Aiwokeh Mbong is 1720781834. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Miriam Nji Aiwokeh Mbong located?

Miriam Nji Aiwokeh Mbong practices at 1515 River Pl Ste 200, Braselton, GA 30517. The listed phone number is (770) 848-6140.

What is Miriam Nji Aiwokeh Mbong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Miriam Nji Aiwokeh Mbong enrolled in Medicare?

Yes. Miriam Nji Aiwokeh Mbong is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Miriam Nji Aiwokeh Mbong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Nji Aiwokeh Mbong reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miriam Nji Aiwokeh Mbong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Miriam Nji Aiwokeh Mbong was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.