DR. JANICE CARMEN PARK DMD
NPI 1457081101
Dentist - General Practice in Peachtree City, GA

Q: What is Janice Park's NPI number?

The NPI number for Janice Park is 1457081101. It was assigned to this individual provider in the NPPES registry on June 15, 2022.

Q: What is Janice Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Janice Park was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 15, 2022PECOS Enrolled

2513 REDWINE RD STE C, PEACHTREE CITY, GA 30269(770) 486-1984 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Dr. Janice Carmen Park Dmd NPPES

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

DR. JANICE CARMEN PARK DMD (NPI 1457081101) is an individual general practice provider in Peachtree City, Georgia, licensed in Georgia (DN122694) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457081101

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JANICE CARMEN PARKCredential: DMD

Location Address2513 REDWINE RD STE CPeachtree City, GA 30269-4420

Mailing Address270 Savannah DrSenoia, GA 30276-2357 · (830) 319-2761

Phone(770) 486-1984

Sole ProprietorYes

Enumeration DateJune 15, 2022

NPPES CertifiedJune 15, 2022

✔ NPI 1457081101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · DN122694

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2513 REDWINE RD STE C, Peachtree City, GA 30269

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Janice Carmen Park Dmd 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 30269 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

$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 2

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

MARK WILLIS II DMD

Dentist (General Practice)

2513 REDWINE RD STE C
PEACHTREE CITY, GA 30269

Fayette County (770) 362-5569

DR. GATLIN GLOVER DMD

Dentist

2513 REDWINE RD STE C
PEACHTREE CITY, GA 30269

Fayette County (662) 820-0811

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 Janice Park's NPI number?

The NPI number for Janice Park is 1457081101. It was assigned to this individual provider in the NPPES registry on June 15, 2022.

Where is Janice Park located?

Janice Park practices at 2513 Redwine Rd Ste C, Peachtree City, GA 30269. The listed phone number is (770) 486-1984.

What is Janice Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Janice Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Janice Park was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.