DR. JOSEPH SONG (MA, MD) – Urology Physician, NPI 1487068904

DR. JOSEPH SONG (MA, MD) is a healthcare provider. based in Mcdonough, Georgia. specializing in UROLOGY. They hold the professional credentials MA, MD. They hold a License No. 83055 (GA). The NPI Number for DR. JOSEPH SONG (MA, MD) is 1487068904

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSEPH SONG (MA, MD)
NPI
1487068904
Phone
(678) 284-4686
Address
1930 BRANNAN RD
Enumeration Date
12 June 2014
Last Update Date
17 May 2019

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7709799427
Graduation Year
2014 (12 years ago)
PAC ID
3274754817
Group Practice PAC ID
9638391717
Professional Enrollment ID
I20190618002793
Address ID
GA300968030DU3855XRDXX413
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

362 UROLOGY in GA

Provider Addresses for DR. JOSEPH SONG (MA, MD)

  • 1930 BRANNAN RD

    MCDONOUGH, GA 302534310

    Phone: (678) 284-4686

    Type: Mailing

  • 11459 Johns Creek Pkwy Ste 170

    Johns Creek, GA 300973516

    Phone: (678) 417-0400

    Type: Location

  • 3855 PLEASANT HILL RD STE 220

    DULUTH, GA 300968030

    Phone: (770) 979-9427

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 121 Open Payments records for all available years, with a total value of $4,860.

Total Amount is formed as General ($4,860) + Research ($0) + Ownership ($0) = $4,860.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: AngioDynamics, Inc. ($1,567).

Total Amount

$4,860

General + Research + Ownership

Payments

121

Total payment records

General Amount

$4,860

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190618002793IUrologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes603337$0
81003Automated urinalysis test478316$0
99213Established patient office or other outpatient visit, 20-29 minutes221170$0
84153Psa (prostate specific antigen) measurement, total216163$0
51798Ultrasound measurement of bladder capacity after voiding147106$0
View full utilization report →

Insurance plans in this area (ZIP 30253)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638391717View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. JOSEPH SONG (MA, MD) in the U.S.?
In the U.S., DR. JOSEPH SONG (MA, MD) is identified by NPI 1487068904.
Does the public listing show DR. JOSEPH SONG (MA, MD) as active?
DR. JOSEPH SONG (MA, MD)'s NPI record reflects an active status in NPPES.
What services align with DR. JOSEPH SONG (MA, MD)'s listing?
DR. JOSEPH SONG (MA, MD)'s public classification highlights Urology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JOSEPH SONG (MA, MD)?
DR. JOSEPH SONG (MA, MD) is associated with Mcdonough, Georgia in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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