P Praxis·MD
● Active Type 1 · Individual

Michelle Jungae Park, NP-C

Nurse Practitioner·Winder, GA· NPI 1558925743 · Enumerated 2019 · 7 years on NPI
Park is 1 of 25 nurse practitioner providers in Winder and 1 of 8826 in Georgia.
NPI age
7 years
Enumerated 2019-04-24
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-05-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
7 years
≈ at median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-04Enumerated in NPPES
2019 2026

Where they practice

Practice location
175 N Broad St
Winder, GA 306802153
📞 7708681144fax 7708681276
Mailing address
8801 Dayflower Dr
Ooltewah, TN 373636932
📞 3146602620

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
4995 Lanier Islands Pkwy
Buford, GA 305181741
📞 6785465059
Location 3
2327 Highway 29 E
Dacula, GA 300192205
📞 7709620054fax 7709621747
Location 4
5196 Highway 53
Braselton, GA 305173112
📞 7068249929fax 7066549373

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #271767 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Winder in the last 180 days. See all →
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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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