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DR. JEANIE PARK M.D.
NPI 1043409048
Internal Medicine - Nephrology in Atlanta, GA

Active since October 16, 2007PECOS Enrolled
550 PEACHTREE ST NE, MOT 8TH FLOOR, ATLANTA, GA 30308(404) 686-5038(404) 686-4995 Get Directions Write a Review

NPPES record last updated: May 17, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jeanie Park M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEANIE PARK M.D. (NPI 1043409048) is an individual nephrology provider in Atlanta, Georgia, licensed in Georgia (061137) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043409048
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. JEANIE PARKCredential: M.D.
Location Address550 PEACHTREE ST NE, MOT 8TH FLOORAtlanta, GA 30308-2208
Mailing Address1670 Clairmont Rd, Renal/nephrology And Hemodialysis Med (111)Decatur, GA 30033-4004 · (404) 321-6111 · Fax (404) 235-3049
Phone(404) 686-5038
Fax(404) 686-4995
Sole ProprietorNo
Enumeration DateOctober 16, 2007
Last NPPES UpdateMay 17, 2011
✔ NPI 1043409048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 061137
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
550 PEACHTREE ST NE, Atlanta, GA 30308
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeanie Park M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeanie Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Emory Clinic Inc
4.0 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DOMINIC JOSEPH PAPANDRIA M.D.
Surgery
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-4411
MR. GRANT MICHAEL MURY PAA
Anesthesiologist Assistant
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 778-3900
NECHAMA DINA EZAGUI PA-S
Physician Assistant
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-4411
SARAH NELSON
Occupational Therapist
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-4411
ADAM GARDI MD
Otolaryngology
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 259-6299
LINDSEY BORNSTEIN GOTTLIEB MD
Internal Medicine (Infectious Disease)
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-8114
JONES SURGICAL GROUP LLC
Surgery
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-4411
MR. BRIAN KEITH BROWN FNP-C
Internal Medicine
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-2505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeanie Park's NPI number?

The NPI number for Jeanie Park is 1043409048. It was assigned to this individual provider in the NPPES registry on October 16, 2007.

Where is Jeanie Park located?

Jeanie Park practices at 550 Peachtree St NE Mot 8th Floor, Atlanta, GA 30308. The listed phone number is (404) 686-5038.

What is Jeanie Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Jeanie Park enrolled in Medicare?

Yes. Jeanie Park is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeanie Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanie Park reassigns Medicare benefits to The Emory Clinic Inc (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeanie Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeanie Park accept?

Health plans from Ambetter Health and Oscar Health list Jeanie Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeanie Park was last updated on May 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.