P Praxis·MD
● Active Type 1 · Individual

Chan Kyu Park, D.C.

Chiropractor·Johns Creek, GA· NPI 1639541485 · Enumerated 2015 · 10 years on NPI
Park is 1 of 32 chiropractor providers in Johns Creek and 1 of 4970 in Georgia.
NPI age
10 years
Enumerated 2015-10-20
Primary specialty
Chiropractor
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-01-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4970 active chiropractor providers in Georgia.

NPI age
10 years
↓ 5 yr below median (15 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
2
In the 9% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-10Enumerated in NPPES
2015 2026

Where they practice

Practice location
6630 McGinnis Ferry Rd, Suite B
Johns Creek, GA 300972164
📞 6784730552fax 6784730656
Mailing address
6630 McGinnis Ferry Rd Ste B
Johns Creek, GA 300971563
📞 6784730552fax 6784730656

Specialties

  • Chiropractor Primary
    A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal...
    GA license #CHIR009022 taxonomy 111N00000X
  • Chiropractor
    Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational...
    GA license #CHIR009022 taxonomy 111NR0400X
  • Chiropractor
    A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports...
    GA license #CHIR009022 taxonomy 111NS0005X

Identifiers

TypeValueNotes
01 (GA) 1588908685 GROUP NPI

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 4970 Chiropractor providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related