DR. SANDRA PARK MD, MS
NPI 1306372057
Surgery in Snellville, GA
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, is affiliated with The University Of Chicago Medical Center, and maintains a secondary practice location in Snellville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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. Sandra Park Md, Ms 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.
Medicare Billing Reassignments
3Medicare enrollment records show Sandra Park reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jasper, GA 30143
- Reassigned Medicare billing, Georgia enrollment
- 689 clinicians in this Medicare group
Chicago, IL 60637
- Reassigned Medicare billing, Illinois enrollment
- 1,905 clinicians in this Medicare group
Chicago, IL 60637
- Reassigned Medicare billing, Illinois enrollment
- 2,237 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The University Of Chicago Medical Center
Acute Care Hospitals · Chicago, ILIngalls Memorial Hospital
Acute Care Hospitals · Harvey, ILPhysician 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tree Ln Ste 450, Snellville, GA 30078. The listed phone number is (770) 972-7999.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sandra Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Park reassigns Medicare benefits to 3 organizations: Piedmont Providers LLC (Jasper, GA), The University Of Chicago Medical Center (Chicago, IL) and University Of Chicago (Chicago, IL). 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 Sandra Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sandra Park accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Sandra 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.
Is Sandra Park affiliated with any hospitals?
According to CMS data, Sandra Park is affiliated with The University Of Chicago Medical Center and Ingalls Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Sandra Park was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Sandra Park, MD, MS · NPI 1306372057
Surgery physician in Snellville, Georgia. Individual provider, active in the CMS NPPES registry since May 1, 2017.
## Identity
- **NPI:** 1306372057 (Entity type: Individual)
- **Enumerated:** May 1, 2017
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 111188 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1700 TREE LN STE 450, Snellville, GA 30078-6756
- **Phone:** (770) 972-7999
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Piedmont Providers LLC (NPI 1548273592, Jasper, GA); The University Of Chicago Medical Center (NPI 1033218128, Chicago, IL); University Of Chicago (NPI 1821048786, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Wisconsin, class of 2017
## Record status
- **NPPES last updated:** September 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1306372057) · Data from the CMS NPPES public registry.