P Praxis·MD
● Active Type 1 · Individual

DR. Daniel Park, M.D.

Plastic Surgery·Marietta, GA· NPI 1952546533 · Enumerated 2008 · 17 years on NPI
Park is 1 of 13 plastic surgery providers in Marietta and 1 of 284 in Georgia.
NPI age
17 years
Enumerated 2008-12-10
Primary specialty
Plastic Surgery
Plus 3 subspecialties
Licensed in
GA, PA, FL
3 states
Status
Active
No deactivations on record
Last NPPES update
2018-06-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 284 active plastic surgery providers in Georgia.

NPI age
17 years
≈ at median (18 yr)
State licenses
3 states
Top 89% — 10% of peers are multi-state
Subspecialties
1
In the 21% of peers with subspecialties

NPI lifetime · 2008 → 2026

2008-12Enumerated in NPPES
2008 2026

Where they practice

Practice location
2285 Asquith Ave Sw Ste 200
Marietta, GA 30008
📞 7704851554
Mailing address
2285 Asquith Ave Sw Ste 200
Marietta, GA 300086092
📞 7704851554

Specialties

  • Plastic Surgery Primary
    A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external...
    GA license #79642 taxonomy 208200000X
  • Surgery
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    PA license #MD440792FL license #ME122781PA license #MT193449 taxonomy 208600000X

Practice context

Part of a multi-provider practice. 2 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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