DR. PRAYA MAM (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1710964408

DR. PRAYA MAM (D.P.M.) is a healthcare provider. based in Forest park, Georgia. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 00723 (GA). The NPI Number for DR. PRAYA MAM (D.P.M.) is 1710964408

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. PRAYA MAM (D.P.M.)
NPI
1710964408
Phone
(404) 363-9944
Address
425 Forest Pkwy
Enumeration Date
23 December 2005
Last Update Date
23 July 2018

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
-
Graduation Year
1992 (34 years ago)
PAC ID
8921172560
Group Practice PAC ID
9436140555
Professional Enrollment ID
I20080731000136
Address ID
GA302972135Fo425XXPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

432 PODIATRY in GA

Provider Addresses for DR. PRAYA MAM (D.P.M.)

  • 425 Forest Pkwy

    Suite 101

    Forest Park, GA 302972185

    Phone: (404) 363-9944

    Fax: (404) 363-9951

    Type: Location

  • 425 Forest Pkwy Ste 101

    Forest Park, GA 302972135

    Phone:

    Type: Location

  • 1109 Eagles Landing Pkwy

    Stockbridge, GA 302816394

    Phone: (404) 363-9944

    Fax: (770) 507-8706

    Type: Location

  • 425, Forest Parkway, Forest Park, Clayton County, Georgia, 30297, United States

    SUITE 101

    FOREST PARK, GA 302972185

    Phone: (404) 363-9944

    Fax: (404) 363-9951

    Type: Mailing

  • Bill Gardner Parkway, Locust Grove, Henry County, Georgia, 30248, United States

    LOCUST GROVE, GA 30248

    Phone: (404) 363-9944

    Fax: (678) 432-7040

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $447.

Total Amount is formed as General ($447) + Research ($0) + Ownership ($0) = $447.

Last reported payment date: 2024-08-16 • Largest payer in this snapshot: ConvaTec Inc. ($157).

Total Amount

$447

General + Research + Ownership

Payments

16

Total payment records

General Amount

$447

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-16

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: 2008-07-31

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
I20080731000136IPodiatryGATBD

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
11721Removal of fingernails or toenails, 6 or more nails361172$0
J1100Injection, dexamethasone sodium phosphate, 1 mg18235$0
99214Established patient office or other outpatient visit, 30-39 minutes11479$0
99213Established patient office or other outpatient visit, 20-29 minutes10187$0
73630X-ray of foot, minimum of 3 views9475$0
View full utilization report →

Insurance plans in this area (ZIP 30297)

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Provider's Procedures

DR. PRAYA MAM (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYGA20610Aspiration and/or injection of large joint or joint capsule9726

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: 9436140555View full group profile
NameSpecialtyState
P O D I A T R YGA
P O D I A T R YGA
P O D I A T R YGA
P O D I A T R YGA
P O D I A T R YGA
P O D I A T R YGA

Reviews

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Frequently asked questions

How do payers reference DR. PRAYA MAM (D.P.M.)?
For DR. PRAYA MAM (D.P.M.), use NPI 1710964408 as the unique 10-digit identifier.
Is DR. PRAYA MAM (D.P.M.) still an active registrant?
DR. PRAYA MAM (D.P.M.) carries an active NPI according to the public dataset.
What expertise is attributed to DR. PRAYA MAM (D.P.M.)?
DR. PRAYA MAM (D.P.M.)'s specialty line reads Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is DR. PRAYA MAM (D.P.M.) located near Forest Park?
DR. PRAYA MAM (D.P.M.) currently maps to Forest Park, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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