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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.

GRACE PARK MD
NPI 1407410004
Pediatrics in Suwanee, GA

Active since April 29, 2019PECOS Enrolled
6918 MCGINNIS FERRY RD STE 200, SUWANEE, GA 30024(770) 622-5758(770) 622-5717 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 19, 2026, Aug 25, 2022, Apr 29, 2019 (3 updates tracked since 2019).

About Grace Park Md NPPES

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

GRACE PARK MD (NPI 1407410004) is an individual pediatrics provider in Suwanee, Georgia, licensed in Georgia (110886) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407410004
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameGRACE PARKCredential: MD
Location Address6918 MCGINNIS FERRY RD STE 200Suwanee, GA 30024-1258
Mailing Address6918 Mcginnis Ferry Rd Ste 200Suwanee, GA 30024-1258 · (770) 622-5758 · Fax (770) 622-5717
Phone(770) 622-5758
Fax(770) 622-5717
Sole ProprietorNo
Enumeration DateApril 29, 2019
Last NPPES UpdateAugust 19, 20263 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1407410004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in GA · 110886✔ Licensed in NC · 202200704
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6918 MCGINNIS FERRY RD STE 200, Suwanee, GA 30024
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace 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 30024 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 3

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

KAREN ELIZABETH DUNMIRE CPNP
Nurse Practitioner
6918 MCGINNIS FERRY RD STE 200
SUWANEE, GA 30024
Gwinnett County (770) 622-5758
ABIGAIL ELIZABETH LAYNE
Registered Nurse
6918 MCGINNIS FERRY RD STE 200
SUWANEE, GA 30024
Gwinnett County (770) 622-5758
DR. MARY PATE MILLS DO
Student in an Organized Health Care Education/Training Program
6918 MCGINNIS FERRY RD STE 200
SUWANEE, GA 30024
Gwinnett County (770) 622-5758

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 Grace Park's NPI number?

The NPI number for Grace Park is 1407410004. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Where is Grace Park located?

Grace Park practices at 6918 Mcginnis Ferry Rd Ste 200, Suwanee, GA 30024. The listed phone number is (770) 622-5758.

What is Grace Park's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Grace Park enrolled in Medicare?

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

What insurance does Grace Park accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Grace 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.

When was this NPI record last updated?

The NPPES record for Grace Park was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.