Doctor profile · Federal record

Dr. Mimi Song, MSN, CNM

Advanced Practice Midwife · Obstetrics & Gynecology Physician · Johns Creek, GA

  • NPI 1609398155
  • 9 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
10692 Medlock Bridge RD Ste 100A
Johns Creek, GA 300978497
(404) 446-2496
Additional location
699 Church St Ne Ste 300
Marietta, GA 300601122
(770) 422-8700
Mailing address
2615 Stonehill Dr
Cumming, GA 300419305

Credentials & registration

NPPES · NUCC
NPI registered
July 2017 — 9 yrs on file
Profile last updated
February 17, 2021
Specialty taxonomy
367A00000X — NUCC code
State license (1)
Georgia #RN213220

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1609398155. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$131
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Organon LLC 1 $130.68

By nature of payment

Food and Beverage
$131

Frequently asked questions

Auto-generated from federal data
What is Dr. Mimi Song's medical specialty?
Dr. Mimi Song practices Advanced Practice Midwife in Johns Creek, GA.
Where does Dr. Mimi Song practice?
Dr. Mimi Song practices at 10692 Medlock Bridge RD Ste 100A, Johns Creek, GA 300978497. Office phone: 4044462496.
What is Dr. Mimi Song's NPI?
Dr. Mimi Song's National Provider Identifier (NPI) is 1609398155, issued by NPPES.