Doctor profile · Federal record
Dr. Samuel Song, M.D.
Pediatrics Physician · Duluth, GA
- NPI 1598762627
- 21 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3435 Duluth Park Ln, Suite A
Duluth, GA 300963259
(678) 417-0407
fax (678) 417-2008
Credentials & registration
- NPI registered
- July 2005 — 21 yrs on file
- Profile last updated
- September 30, 2011
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Georgia #049206
- Medicaid
- GA #000892207C
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1598762627. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$80
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Surmodics, INC. | 1 | $80.47 |
By nature of payment
Frequently asked questions
What is Dr. Samuel Song's medical specialty?
Dr. Samuel Song practices Pediatrics Physician in Duluth, GA.
Where does Dr. Samuel Song practice?
Dr. Samuel Song practices at 3435 Duluth Park Ln, Duluth, GA 300963259. Office phone: 6784170407.
What is Dr. Samuel Song's NPI?
Dr. Samuel Song's National Provider Identifier (NPI) is 1598762627, issued by NPPES.