MINYOUNG JENNY PARK DO
NPI 1417607946
Family Medicine in Brookhaven, GA
About Minyoung Jenny Park Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINYOUNG JENNY PARK DO (NPI 1417607946) is an individual family medicine provider in Brookhaven, Georgia, licensed in Georgia (111626) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Minyoung Jenny Park Do 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Maine General Medical Center
Acute Care Hospitals · Augusta, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30329 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKHAVEN, GA 30329
BROOKHAVEN, GA 30329
BROOKHAVEN, GA 30329
ATLANTA, GA 30329
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 Minyoung Park's NPI number?
The NPI number for Minyoung Park is 1417607946. It was assigned to this individual provider in the NPPES registry on March 27, 2022.
Where is Minyoung Park located?
Minyoung Park practices at 1968 Hawks Ln NE, Brookhaven, GA 30329. The listed phone number is (404) 778-3350.
What is Minyoung Park's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Minyoung Park enrolled in Medicare?
Yes. Minyoung 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.
Is Minyoung Park affiliated with any hospitals?
According to CMS data, Minyoung Park is affiliated with Maine General Medical Center.
When was this NPI record last updated?
The NPPES record for Minyoung Park was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 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.
# Minyoung Jenny Park, DO · NPI 1417607946
Family Medicine physician in Brookhaven, Georgia. Individual provider, active in the CMS NPPES registry since March 27, 2022.
## Identity
- **NPI:** 1417607946 (Entity type: Individual)
- **Enumerated:** March 27, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 111626 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1968 HAWKS LN NE, Brookhaven, GA 30329-2283
- **Phone:** (404) 778-3350
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Touro Un Col Of Osteopathic Medicine, New York, class of 2022
## Record status
- **NPPES last updated:** July 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417607946) · Data from the CMS NPPES public registry.