CLIFFORD SONG (M.D.) – Anesthesiology Physician, NPI 1487912721
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,330 ANESTHESIOLOGY in GA
Provider Addresses for CLIFFORD SONG (M.D.)
1364 CLIFTON RD NE
3B SOUTH
ATLANTA, GA 303221059
Phone:
Type: Mailing
1364 Clifton Rd NE
3B South
Atlanta, GA 303221059
Phone: (404) 778-5778
Type: Location
8700 Beverly Blvd
West Hollywood, CA 900481804
Phone: (703) 585-4924
Type: Location
1210 LARRABEE ST # 8
WEST HOLLYWOOD, CA 900696104
Phone: (703) 585-4924
Type: Mailing
10400 HALIGUS RD FL 2
HUNTLEY, IL 601429553
Phone: (224) 654-0000
Fax: (224) 654-0000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-09-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161011001384 | I | Anesthesiology | GA | TBD |
| I20240517003108 | I | Anesthesiology | CA | TBD |
| I20240911001363 | I | Anesthesiology | IL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30322)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | CA | |
| A N E S T H E S I O L O G Y | CA | |
| - | CA | |
| A N E S T H E S I O L O G Y | CA | |
| - | CA | |
| Certified Registered Nurse Anesthetist (Crna) | NV | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| A N E S T H E S I O L O G Y | CA | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Certified Registered Nurse Anesthetist (Crna) | LA |
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