NPI age
1 years
Enumerated 2025-05-12
● Active
Type 1 · Individual
Jennie Haelynn Park, MD
Park is 1 of 107 obstetrics & gynecology providers in Augusta and 1 of 1893 in Georgia.
Primary specialty
Obstetrics & Gynecology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-05-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1893 active obstetrics & gynecology providers in Georgia.
NPI age
1 years
↓ 18 yr below median (19 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties
NPI lifetime · 2025 → 2026
2025-05Enumerated in NPPES
2025
2026
Where they practice
Practice location
1459 Laney Walker Blvd
Augusta, GA 309120002
Mailing address
1459 Laney Walker Blvd
Augusta, GA 309120002
Specialties
-
Obstetrics & Gynecology PrimaryAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Practice context
Part of a multi-provider practice. 114 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 →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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