P Praxis·MD
● Active Type 1 · Individual

Mimi Kim Song, MSN, CNM

Advanced Practice Midwife·Johns Creek, GA· NPI 1609398155 · Enumerated 2017 · 8 years on NPI
Song is 1 of 7 advanced practice midwife providers in Johns Creek and 1 of 546 in Georgia.
NPI age
8 years
Enumerated 2017-07-15
Primary specialty
Advanced Practice Midwife
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-02-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 546 active advanced practice midwife providers in Georgia.

NPI age
8 years
↓ 4 yr below median (12 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
1
In the 24% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-07Enumerated in NPPES
2017 2026

Where they practice

Practice location
10692 Medlock Bridge Rd Ste 100a
Johns Creek, GA 300978497
📞 4044462496
Mailing address
2615 Stonehill Dr
Cumming, GA 300419305
📞 6787930089

Additional practice locations

1 secondary location on file with NPPES.

Location 2
699 Church St Ne Ste 300
Marietta, GA 300601122
📞 7704228700

Specialties

  • Advanced Practice Midwife Primary
    Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception...
    GA license #RN213220 taxonomy 367A00000X
  • Obstetrics & Gynecology
    An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
    GA license #RN213220 taxonomy 207V00000X

Practice context

Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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