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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

REBEKAH HEE JIN PARK
NPI 1245185156
Nurse Practitioner - Family in Duluth, GA

Active since March 04, 2026PECOS Enrolled
3473 SATELLITE BLVD # 120N, DULUTH, GA 30096(770) 559-8385(770) 674-7367 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 28, 2026, Mar 4, 2026 (2 updates tracked since 2026).

About Rebekah Hee Jin Park NPPES

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

REBEKAH HEE JIN PARK (NPI 1245185156) is an individual family provider in Duluth, Georgia, licensed in Georgia (NP231286) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Johns Creek.

NPPES Registry Identity

NPI1245185156
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREBEKAH HEE JIN PARK
Location Address3473 SATELLITE BLVD # 120NDuluth, GA 30096-8690
Mailing Address3473 Satellite Blvd Ste 120nDuluth, GA 30096-8690 · (770) 559-8385 · Fax (770) 674-7367
Phone(770) 559-8385
Fax(770) 674-7367
Sole ProprietorYes
Enumeration DateMarch 4, 2026
Last NPPES UpdateOctober 28, 20262 updates tracked since enumeration
NPPES CertifiedOctober 28, 2026
✔ NPI 1245185156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · NP231286
Also ListedFamily MedicineTaxonomy 207Q00000X · License NP281286 (GA)
3473 SATELLITE BLVD # 120N, Duluth, GA 30096
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Secondary Practice Location 1

Location 110710 Medlock Bridge Rd Ste 200Johns Creek, GA 30097-1998 · Phone (770) 497-4188 · Fax (770) 497-4189

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebekah Hee Jin Park 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30096 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

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

MINJOO KIM
Nurse Practitioner (Family)
3473 SATELLITE BLVD # 120N
DULUTH, GA 30096
Gwinnett County (770) 559-8385

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 Rebekah Park's NPI number?

The NPI number for Rebekah Park is 1245185156. It was assigned to this individual provider in the NPPES registry on March 4, 2026.

Where is Rebekah Park located?

Rebekah Park practices at 3473 Satellite Blvd # 120N, Duluth, GA 30096. The listed phone number is (770) 559-8385.

What is Rebekah Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rebekah Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Rebekah Park was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.