NPI age
8 years
Enumerated 2018-01-29
● Active
Type 1 · Individual
DR. Justin Park, MD
Park is 1 of 1 family medicine providers in Austell and 1 of 15 in Georgia.
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 15 active family medicine providers in Georgia.
NPI age
8 years
≈ at median (8 yr)
State licenses
1 state
33% of peers hold multiple states
Subspecialties
0
60% of peers hold subspecialties
NPI lifetime · 2018 → 2026
2018-01Enumerated in NPPES
2018
2026
Where they practice
Practice location
1664 Mulkey Rd
Austell, GA 301061114
Mailing address
1664 Mulkey Rd
Austell, GA 301061114
Specialties
-
Family Medicine PrimaryA Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian...
Practice context
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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