P Praxis·MD
● Active Type 1 · Individual

DR. Jae Young Park, ACUPUNCTURIST

Acupuncturist·Fort Gordon, GA· NPI 1023199924 · Enumerated 2006 · 19 years on NPI
Park is 1 of 1 acupuncturist providers in Fort Gordon and 1 of 353 in Georgia.
NPI age
19 years
Enumerated 2006-10-18
Primary specialty
Acupuncturist
Licensed in
CA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-07-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 353 active acupuncturist providers in Georgia.

NPI age
19 years
↑ 8 yr above median (11 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
300 W Hospital Rd Bldg 3006th, Interdisciplinary Pain Management Center
Fort Gordon, GA 309055741
📞 7067870716fax 7067870196
Mailing address
300 Hospital Rd, Interdisciplinary Pain Management Center
Fort Gordon, GA 309055741
📞 7067878322fax 7067870196

Specialties

  • Acupuncturist Primary
    An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or...
    CA license #11226 taxonomy 171100000X

Practice context

Solo or small practice. No 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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