1. Home
  2. Directory
  3. Georgia
  4. Snellville
  5. Surgery
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SANDRA PARK MD, MS
NPI 1306372057
Surgery in Snellville, GA

Active since May 01, 2017PECOS Enrolled
1700 MEDICAL WAY, SNELLVILLE, GA 30078(678) 628-1222 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2026, Mar 16, 2026, Dec 5, 2019 and 2 more (5 updates tracked since 2019).

About Dr. Sandra Park Md, Ms NPPES

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

DR. SANDRA PARK MD, MS (NPI 1306372057) is an individual surgery provider in Snellville, Georgia, licensed in Georgia (111188) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2017).

NPPES Registry Identity

NPI1306372057
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. SANDRA PARKCredential: MD, MS
Location Address1700 MEDICAL WAYSnellville, GA 30078-2195
Mailing Address1700 Medical WaySnellville, GA 30078-2195 · (678) 628-1222
Phone(678) 628-1222
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2017
Enumeration DateMay 1, 2017
Last NPPES UpdateAugust 11, 20265 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1306372057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GA · 111188
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1700 MEDICAL WAY, Snellville, GA 30078
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sandra Park Md, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224373253
PECOS Enrollment IDI20260325000101
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 30078 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

MR. JASON TODD JONES NP
Nurse Practitioner
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Gwinnett County (478) 464-8134
YOVANIE JEAN-PIERRE NP
Nurse Practitioner
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Gwinnett County (770) 979-0200
TAYANA BUCHANAN
Nurse Practitioner
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Gwinnett County (404) 610-0205
WILLIAM MUSARRA A.A.
Anesthesiologist Assistant
1700 MEDICAL WAY, ANESTHESIA DEPT
SNELLVILLE, GA 30078
Gwinnett County (770) 979-9996
MS. DONNA ARTHUR PA-C
Physician Assistant (Medical)
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Gwinnett County (770) 332-1234
JEREMY L STERLING PA
Anesthesiologist Assistant
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Gwinnett County (770) 979-9996
APOLLO EMERGENCY PHYSICIANS, LLC
Emergency Medicine
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Gwinnett County (469) 401-2386
CHARLOTTE A HAYES MD
Radiology (Diagnostic Radiology)
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Gwinnett County (770) 979-0200

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 Sandra Park's NPI number?

The NPI number for Sandra Park is 1306372057. It was assigned to this individual provider in the NPPES registry on May 1, 2017.

Where is Sandra Park located?

Sandra Park practices at 1700 Medical Way, Snellville, GA 30078. The listed phone number is (678) 628-1222.

What is Sandra Park's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sandra Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sandra Park was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.