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HAYEON PARK NP-C
NPI 1376076950
Nurse Practitioner - Family in Suwanee, GA

Active since April 10, 2017
80 HORIZON DR STE 304, SUWANEE, GA 30024(770) 476-3734 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2025, Feb 18, 2022, Apr 10, 2017 (3 updates tracked since 2017).

About Hayeon Park Np-c NPPES

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

HAYEON PARK NP-C (NPI 1376076950) is an individual family provider in Suwanee, Georgia, licensed in Georgia (RN302805) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1376076950
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHAYEON PARKCredential: NP-C
Location Address80 HORIZON DR STE 304Suwanee, GA 30024-7740
Mailing Address80 Horizon Dr Ste 304Suwanee, GA 30024-7740 · (770) 476-3734
Phone(770) 476-3734
Sole ProprietorNo
Enumeration DateApril 10, 2017
Last NPPES UpdateOctober 8, 20253 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1376076950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN302805
80 HORIZON DR STE 304, Suwanee, GA 30024
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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 Hayeon Park's NPI number?

The NPI number for Hayeon Park is 1376076950. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Hayeon Park located?

Hayeon Park practices at 80 Horizon Dr Ste 304, Suwanee, GA 30024. The listed phone number is (770) 476-3734.

What is Hayeon Park's specialty?

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

When was this NPI record last updated?

The NPPES record for Hayeon Park was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.