NPI age
3 years
Enumerated 2022-07-12
● Active
Type 1 · Individual
Soomi Park, PA-C
Park is 1 of 86 physician assistant providers in Cumming and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA, OH
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-01-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4616 active physician assistant providers in Georgia.
NPI age
3 years
↓ 5 yr below median (8 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-07Enumerated in NPPES
2022
2026
Where they practice
Practice location
1200 Northside Forsyth Dr
Cumming, GA 300417659
Mailing address
1200 Northside Forsyth Dr
Cumming, GA 300417659
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3525 Olentangy River Rd Ste 4330
Columbus, OH 432143937
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Practice context
Part of a multi-provider practice. 190 other active providers share this practice address in NPPES.
Recently enumerated nearby: 5 new physician assistant providers have been added in Cumming in the last 180 days.
See all →
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- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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