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SORA PARK MD
NPI 1376005090
Psychiatry & Neurology - Psychiatry in Atlanta, GA

Active since April 02, 2019PECOS Enrolled
519 MEMORIAL DR SE UNIT B10, ATLANTA, GA 30312(470) 223-8983 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2023, Apr 2, 2019 (2 updates tracked since 2019).

About Sora Park Md NPPES

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

SORA PARK MD (NPI 1376005090) is an individual psychiatry provider in Atlanta, Georgia, licensed in Georgia (95846) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376005090
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSORA PARKCredential: MD
Location Address519 MEMORIAL DR SE UNIT B10Atlanta, GA 30312-2289
Mailing Address113 S. Perry St., Ste 206 #8276Lawrenceville, GA 30046 · (470) 223-8983
Phone(470) 223-8983
Sole ProprietorNo
Enumeration DateApril 2, 2019
Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
✔ NPI 1376005090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in GA · 95846
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
519 MEMORIAL DR SE UNIT B10, Atlanta, GA 30312
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sora Park Md 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 30312 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
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

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

DR. PAULINA KAISER MD
Psychiatry & Neurology (Psychiatry)
519 MEMORIAL DR SE UNIT B10
ATLANTA, GA 30312
Fulton County (404) 919-0530

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 Sora Park's NPI number?

The NPI number for Sora Park is 1376005090. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Sora Park located?

Sora Park practices at 519 Memorial Dr SE Unit B10, Atlanta, GA 30312. The listed phone number is (470) 223-8983.

What is Sora Park's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Sora Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sora Park was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.