P Praxis·MD
● Active Type 1 · Individual

Cecilia Park, FNP

Nurse Practitioner·Duluth, GA· NPI 1992041859 · Enumerated 2012 · 13 years on NPI
Park is 1 of 60 nurse practitioner providers in Duluth and 1 of 8826 in Georgia.
NPI age
13 years
Enumerated 2012-12-21
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-02-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
13 years
↑ 6 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 20% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-12Enumerated in NPPES
2012 2026

Where they practice

Practice location
3636 Satellite Blvd, #4a
Duluth, GA 300964590
📞 4703369635
Mailing address
2366 Harshaw Ave
Lawrenceville, GA 300438209
📞 4703369635

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN240365 taxonomy 363LF0000X
  • Chiropractor
    A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal...
    GA license #CHIR008961 taxonomy 111N00000X

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new nurse practitioner providers have been added in Duluth in the last 180 days. See all →
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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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