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PARK SURGICAL SPECIALISTS, LLC
NPI 1083122055
Specialist in Suwanee, GA

Active since January 12, 2018
4255 JOHNS CREEK PKWY STE D, SUWANEE, GA 30024(404) 414-8047 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 1, 2018, Jan 12, 2018 (2 updates tracked since 2018).

About Park Surgical Specialists, Llc NPPES

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

PARK SURGICAL SPECIALISTS, LLC (NPI 1083122055) is a healthcare organization registered as a specialist in Suwanee, Georgia and active in the NPI registry since January 2018. The organization lists Terri Mcdonald, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1083122055
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePARK SURGICAL SPECIALISTS, LLC
Location Address4255 JOHNS CREEK PKWY STE DSuwanee, GA 30024-6122
Mailing Address4255 Johns Creek Pkwy Ste DSuwanee, GA 30024-6122 · (404) 414-8047
Phone(404) 414-8047
Organization SubpartNo
Authorized OfficialTerri McdonaldCredentialing · (404) 414-8047
Enumeration DateJanuary 12, 2018
Last NPPES UpdateOctober 1, 20182 updates tracked since enumeration
✔ NPI 1083122055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 32801
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4255 JOHNS CREEK PKWY STE D, Suwanee, GA 30024
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Other Providers at the Same Location NPPES

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

DR. ALEXANDER D. PARK M.D.
Surgery
4255 JOHNS CREEK PKWY STE D
SUWANEE, GA 30024
Gwinnett County (678) 894-2151

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 Park Surgical Specialists, LLC's NPI number?

The NPI number for Park Surgical Specialists, LLC is 1083122055. It was assigned to this organization in the NPPES registry on January 12, 2018.

Where is Park Surgical Specialists, LLC located?

Park Surgical Specialists, LLC is located at 4255 Johns Creek Pkwy Ste D, Suwanee, GA 30024. The listed phone number is (404) 414-8047.

What is Park Surgical Specialists, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Park Surgical Specialists, LLC accept?

Health plans from Alliant Health Plans, Inc. list Park Surgical Specialists, LLC 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 Park Surgical Specialists, LLC was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.