P Praxis·MD
● Active Type 1 · Individual

DR. Jeanie Park, M.D.

Internal Medicine·Atlanta, GA· NPI 1043409048 · Enumerated 2007 · 18 years on NPI
Park is 1 of 120 internal medicine providers in Atlanta and 1 of 562 in Georgia.
NPI age
18 years
Enumerated 2007-10-16
Primary specialty
Internal Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-05-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 562 active internal medicine providers in Georgia.

NPI age
18 years
≈ at median (19 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-10Enumerated in NPPES
2007 2026

Where they practice

Practice location
550 Peachtree St Ne, Mot 8th Floor
Atlanta, GA 303082208
📞 4046865038fax 4046864995
Mailing address
1670 Clairmont Rd, Renal/nephrology And Hemodialysis Med (111)
Decatur, GA 300334004
📞 4043216111fax 4042353049

Specialties

  • Internal Medicine Primary
    An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
    GA license #061137 taxonomy 207RN0300X

Practice context

Part of a multi-provider practice. 816 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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