Praya Mam (NPI# 1710964408, PAC ID# 8921172560) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1710964408 |
| PAC ID by PECOS | 8921172560 |
| Professional Enrollment ID | I20080731000136 |
| Full Name | Praya Mam |
| Organization Legal Name | AMERICAN FOOT AND LEG SPECIALISTS, P.C. |
| Address |
4877 Bill Gardner Pkwy Locust Grove GA 30248-3644 |
| Phone Number | 6784327060 |
| Gender | M |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 9436140555 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110161 | NORTHSIDE HOSPITAL |
| 110191 | PIEDMONT HENRY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 425 Forest Pkwy, Suite 101, Forest Park, GA 30297-2135 | 40436399441106 | AMERICAN FOOT AND LEG SPECIALISTS, P.C. |
| 4877 Bill Gardner Pkwy, Locust Grove, GA 30248-3644 | 6784327060 | AMERICAN FOOT AND LEG SPECIALISTS, P.C. |
| 1109 Eagles Landing Pkwy, Stockbridge, GA 30281-6394 | 40436399441106 | AMERICAN FOOT AND LEG SPECIALISTS, P.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 71% |
| Organization Legal Name | AMERICAN FOOT AND LEG SPECIALISTS, P.C. |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey P Flash | Podiatry | American Foot and Leg Specialists, P.C. | 1109 Eagles Landing Pkwy, Stockbridge, GA 30281-6394 |
| Loren K Colon | Podiatry | American Foot and Leg Specialists, P.C. | 4877 Bill Gardner Pkwy, Locust Grove, GA 30248-3644 |
| Marieli A Colon | Podiatry | American Foot and Leg Specialists, P.C. | 122 N Park Dr, Fayetteville, GA 30214-1645 |
| Rose James | Podiatry | American Foot and Leg Specialists, P.C. | 1109 Eagles Landing Pkwy, Stockbridge, GA 30281-6394 |
| Rodney G Gadson | Podiatry | American Foot and Leg Specialists, P.C. | 4877 Bill Gardner Pkwy, Locust Grove, GA 30248-3644 |
| Paul A Colon | Podiatry | American Foot and Leg Specialists, P.C. | 425 Forest Pkwy, Forest Park, GA 30297-2135 |
| Street Address |
4877 BILL GARDNER PKWY |
| City | LOCUST GROVE |
| State | GA |
| Zip | 30248-3644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Loren K Colon | Podiatry | American Foot and Leg Specialists, P.C. | 4877 Bill Gardner Pkwy, Locust Grove, GA 30248-3644 |
| Rodney G Gadson | Podiatry | American Foot and Leg Specialists, P.C. | 4877 Bill Gardner Pkwy, Locust Grove, GA 30248-3644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Althea Dimaculangan | Nurse Practitioner | Locust Grove Family Medicine | 3778 Hwy 42, Locust Grove, GA 30248 |
| Lorie N Johnson | Obstetrics/gynecology | 3976 Hwy 42 S, Locust Grove, GA 30248 | |
| Nimisha Trivedi | Family Medicine | Locust Grove Family Medicine | 3778 Hwy 42, Locust Grove, GA 30248 |
| Remonne Joseph | Nurse Practitioner | Locust Grove Family Medicine | 3778 Hwy 42, Locust Grove, GA 30248 |
| Laura M Trice | Nurse Practitioner | Health Services of Central Georgia | 4600 Bill Gardner Pkwy, Suite 200, Locust Grove, GA 30248-2427 |
| Cody James Hartley | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 4959 Bill Gardner Pkwy, Suite 109, Locust Grove, GA 30248-2915 |
| Jameson A Estes | Family Medicine | Venture Medical Associates LLC | 3334 Hwy 155 A, Locust Grove, GA 30248-3513 |
| Janella L Thomas Burse | Obstetrics/gynecology | Better Health Greater Life LLC | 3334 Hwy 155, Suite B, Locust Grove, GA 30248-3513 |
| Jean R Ferdinand | Family Medicine | Venture Medical Associates LLC | 3334 Hwy 155 A, Locust Grove, GA 30248-3513 |
| Alecia R Lovelady | Obstetrics/gynecology | Better Health Greater Life LLC | 3334 Hwy 155, Suite B, Locust Grove, GA 30248-3513 |
| Find all physicians in zip 30248 | |||
| City | LOCUST GROVE |
| Zip Code | 30248 |
| Specialty | PODIATRY |
| City + Specialty | LOCUST GROVE + PODIATRY |
Please comment or provide details below to improve the information on Praya Mam.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.