NPI age
7 years
Enumerated 2019-04-24
● Active
Type 1 · Individual
Michelle Jungae Park, NP-C
Park is 1 of 25 nurse practitioner providers in Winder and 1 of 8826 in Georgia.
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
Mailing address
8801 Dayflower Dr
Ooltewah, TN 373636932
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
4995 Lanier Islands Pkwy
Buford, GA 305181741
Location 3
2327 Highway 29 E
Dacula, GA 300192205
Location 4
5196 Highway 53
Braselton, GA 305173112
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
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.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.