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DR. ANNIE PARK D.O.
NPI 1194165944
Hospitalist in Canton, GA

Active since June 26, 2013PECOS EnrolledAccepts Medicare Assignment
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115(770) 224-1000(770) 224-2451 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 10, 2020, Dec 20, 2017, Feb 1, 2017 and 2 more (5 updates tracked since 2016).

About Dr. Annie Park D.o. NPPES

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

DR. ANNIE PARK D.O. (NPI 1194165944) is an individual hospitalist provider in Canton, Georgia, licensed in Georgia (79236) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of West Virginia School Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1194165944
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. ANNIE PARKCredential: D.O.
Location Address450 NORTHSIDE CHEROKEE BLVDCanton, GA 30115-8015
Mailing AddressPo Box 2705Huntsville, AL 35804-2705 · (256) 265-3880 · Fax (256) 265-3886
Phone(770) 224-1000
Fax(770) 224-2451
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2013
Enumeration DateJune 26, 2013
Last NPPES UpdateJanuary 10, 20205 updates tracked since enumeration
✔ NPI 1194165944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in GA · 79236
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 1688 (AL), 079236 (GA)
450 NORTHSIDE CHEROKEE BLVD, Canton, GA 30115
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Annie Park D.o. 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 ID4082900634
PECOS Enrollment IDI20180111000172
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 Reassignments

4

Medicare enrollment records show Annie Park reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Young Won Kang M.D. P.C.
23 mi
Clinic/Center
4855 RIVER GREEN PKWY, #140
Duluth, GA 30096
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group
NPI 1447438874 (678) 417-0077
Excelsior Healthcare Partners LLC
25 mi
Family Medicine
777 W PEACHTREE ST
Norcross, GA 30071
  • Reassigned Medicare billing, Georgia enrollment
  • 12 clinicians in this Medicare group
NPI 1578305199 (770) 246-6100
Allcare Ga PC
26 mi
Internal Medicine
3867 ROSWELL RD NE STE 100
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 35 clinicians in this Medicare group
NPI 1972080554 (678) 999-8263
Capital Healthcare PC
518 mi
Primary Care
6020 RICHMOND HWY STE 102
Alexandria, VA 22303
  • Reassigned Medicare billing, Georgia enrollment
  • 41 clinicians in this Medicare group
NPI 1811239627 (571) 308-6776

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 30115 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.

ERICA ADDISON AA-C
Anesthesiologist Assistant
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (256) 710-5535
STACY ANN CARTMELL
Internal Medicine (Interventional Cardiology)
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (770) 224-1000
ANNA O DYER
Registered Nurse (Critical Care Medicine)
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (770) 224-1000
SARAH TURNER PEELE RD
Dietitian, Registered
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (770) 224-1000
DR. CHRISTOPHER CHANNING MORRISON PHARMD
Pharmacist
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (770) 224-1000
AARON ROBERT MILLAGE M.D.
Pediatrics (Neonatal-Perinatal Medicine)
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (770) 720-5100
DRAKE CHRISTIAN DEHOFF MD
Hospitalist
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (770) 224-1000
DOMINIK KISSING M.D.
Obstetrics & Gynecology
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (770) 224-1000

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 Annie Park's NPI number?

The NPI number for Annie Park is 1194165944. It was assigned to this individual provider in the NPPES registry on June 26, 2013.

Where is Annie Park located?

Annie Park practices at 450 Northside Cherokee Blvd, Canton, GA 30115. The listed phone number is (770) 224-1000.

What is Annie Park's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Annie Park enrolled in Medicare?

Yes. Annie 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.

Which organizations bill Medicare for Annie Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annie Park reassigns Medicare benefits to 4 organizations: Young Won Kang M.D. P.C. (Duluth, GA), Excelsior Healthcare Partners LLC (Norcross, GA), Allcare Ga PC (Atlanta, GA) and Capital Healthcare PC (Alexandria, VA). Each 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 Annie Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Annie Park accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Annie 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 Annie Park was last updated on January 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.