NPI age
19 years
Enumerated 2007-03-27
● Active
Type 1 · Individual
Jin Park, M.D.
Park is 1 of 54 radiology providers in Atlanta and 1 of 160 in Georgia.
Primary specialty
Radiology
Plus 3 subspecialties
Licensed in
GA, NC, PA
3 states
Status
Active
No deactivations on record
Last NPPES update
2025-10-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 160 active radiology providers in Georgia.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
3 states
Top 71% — 28% of peers are multi-state
Subspecialties
1
In the 64% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Practice location
1000 Johnson Ferry Rd Ne, Radiology Department
Atlanta, GA 303421606
Mailing address
5605 Glenridge Dr Ste 325
Atlanta, GA 303421365
Additional practice locations
1 secondary location on file with NPPES.
Location 2
743 Spring St Ne
Gainesville, GA 305013715
Specialties
-
Radiology PrimaryA radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
-
RadiologyA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 456003412 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 322 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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