P Praxis·MD
● Active Type 1 · Individual

Peter Ju Park, M.D.

Radiology·Atlanta, GA· NPI 1699015792 · Enumerated 2013 · 13 years on NPI
Park is 1 of 54 radiology providers in Atlanta and 1 of 160 in Georgia.
NPI age
13 years
Enumerated 2013-02-26
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-11-05
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
13 years
↓ 4 yr below median (17 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
1
In the 64% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-02Enumerated in NPPES
2013 2026

Where they practice

Practice location
100 Woodruff Cir Ne, Suite 327
Atlanta, GA 303220001
📞 4047124686
Mailing address
1364 Clifton Nerd D125a
Atlanta, GA 303221059
📞 4047124686fax 4047127908

Specialties

  • Radiology Primary
    A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
    GA license #007281 taxonomy 2085R0204X
  • Radiology
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    GA license #007281 taxonomy 2085R0202X

Practice context

Part of a multi-provider practice. 247 other active providers share this practice address in NPPES.

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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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