SOOMI PARK PA-C
NPI 1184358566
Physician Assistant in Cumming, GA
About Soomi Park Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOOMI PARK PA-C (NPI 1184358566) is an individual physician assistant in Cumming, Georgia, licensed in Georgia (12815) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Soomi Park Pa-c 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Cherokee
Acute Care Hospitals · Canton, GANorthside Hospital Gwinnett
Acute Care Hospitals · Lawrenceville, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30041 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
CUMMING, GA 30041
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 Soomi Park's NPI number?
The NPI number for Soomi Park is 1184358566. It was assigned to this individual provider in the NPPES registry on July 12, 2022.
Where is Soomi Park located?
Soomi Park practices at 1200 Northside Forsyth Dr, Cumming, GA 30041. The listed phone number is (770) 844-3295.
What is Soomi Park's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Soomi Park enrolled in Medicare?
Yes. Soomi 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 Soomi Park affiliated with any hospitals?
According to CMS data, Soomi Park is affiliated with Northside Hospital Cherokee and Northside Hospital Gwinnett.
When was this NPI record last updated?
The NPPES record for Soomi Park was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Soomi Park, PA-C · NPI 1184358566
Physician Assistant physician in Cumming, Georgia. Individual provider, active in the CMS NPPES registry since July 12, 2022.
## Identity
- **NPI:** 1184358566 (Entity type: Individual)
- **Enumerated:** July 12, 2022
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 12815 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 NORTHSIDE FORSYTH DR, Cumming, GA 30041-7659
- **Phone:** (770) 844-3295 · **Fax:** (404) 250-7330
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1184358566) · Data from the CMS NPPES public registry.