HANA PARK
NPI 1114546629
Emergency Medicine in Fayetteville, GA

Active since April 14, 2020PECOS EnrolledAccepts Medicare Assignment
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214(770) 719-7000 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 26, 2025, Aug 23, 2023, Jul 14, 2023 and 1 more (4 updates tracked since 2020).

About Hana Park NPPES

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

HANA PARK (NPI 1114546629) is an individual emergency medicine provider in Fayetteville, Georgia, licensed in Pennsylvania (OS022985) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Piedmont Fayette Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1114546629
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameHANA PARK
Location Address1255 HIGHWAY 54 WFayetteville, GA 30214-4526
Mailing Address677 Church St NeMarietta, GA 30060-1101
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2020
Enumeration DateApril 14, 2020
Last NPPES UpdateDecember 26, 20254 updates tracked since enumeration
NPPES CertifiedDecember 26, 2025
NPI 1114546629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in PA · OS022985
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1255 HIGHWAY 54 W, Fayetteville, GA 30214

Other Identifiers 1

Medicaid0935379NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Hana Park is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587087408
PECOS Enrollment IDI20230816002192, I20251125004792
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
544 services525 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
126 services122 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
46 services46 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
34 services34 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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.

Dietitian, Registered
1255 HIGHWAY 54 W, PIEDMONT FAYETTE HOSPITAL - DIABETES EDUCATION DEPT
FAYETTEVILLE, GA 30214
Nurse Practitioner
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Physical Therapist
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Physical Therapist
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Physical Therapist
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Speech-Language Pathologist
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Physical Therapist
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Physical Therapist
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214

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 Hana Park's NPI number?

The NPI number for Hana Park is 1114546629. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Hana Park located?

Hana Park practices at 1255 Highway 54 W, Fayetteville, GA 30214. The listed phone number is (770) 719-7000.

What is Hana Park's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Hana Park enrolled in Medicare?

Yes. Hana Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Hana Park affiliated with any hospitals?

According to CMS data, Hana Park is affiliated with Piedmont Fayette Hospital and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Hana Park was last updated on December 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.