NPI age
10 years
Enumerated 2015-08-24
● Active
Type 1 · Individual
Mijeong Park, CPNP
Park is 1 of 12 nurse practitioner providers in Norcross and 1 of 929 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 929 active nurse practitioner providers in Georgia.
NPI age
10 years
≈ at median (10 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-08Enumerated in NPPES
2015
2026
Where they practice
Practice location
6286 Oakwood Cir
Norcross, GA 300931629
Mailing address
6286 Oakwood Cir
Norcross, GA 300931629
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (NC) | 1579732 | WELLPATH |
| 01 (NC) | 1710354907 | HUMANA |
| 01 (NC) | 1710354907 | DOCTORS DIRECT |
| 01 (NC) | 1710354907 | HEALTHNET FEDERAL SERVICES |
| 01 (NC) | 298447 | MEDCOST |
| 01 (NC) | 4632274 | COVENTRY NATIONAL - COVENTRY PPO |
| 01 (NC) | FH4002315 | FIRST CAROLINA CARE |
| 01 (NC) | 1579732 | COVENTRY OF THE CAROLINAS |
| 05 (TX) | 1710354907 | |
| 01 (NC) | 4948746 | AETNA |
| 01 (NC) | 135452367 | PHCS/MULTIPLAN |
| 01 (NC) | 1710354907 | HEALTHSMART |
| 05 (NC) | 1710354907 | |
| 01 (NC) | 19EFK | BCBS OF NC |
| 01 (NC) | 3455644 | CIGNA/GREATWEST |
| 01 (NC) | 5707800 | UNITED HEALTHCARE |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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Request a quote →How to verify this provider
- 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.