CHAN KYU PARK D.C.
NPI 1639541485
Chiropractor in Johns Creek, GA
About Chan Kyu Park D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHAN KYU PARK D.C. (NPI 1639541485) is an individual chiropractor in Johns Creek, Georgia, licensed in Georgia (CHIR009022) and active in the NPI registry since October 2015. He is a graduate of Life Chiropractic College (2012).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Chan Kyu Park D.c. 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.
Medicare Billing Reassignment
Medicare enrollment records show Chan Kyu Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Johns Creek, GA 30097
- Reassigned Medicare billing, Georgia enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JOHNS CREEK, GA 30097
DULUTH, GA 30097
JOHNS CREEK, GA 30097
DULUTH, GA 30097
DULUTH, GA 30097
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 Chan Kyu Park's NPI number?
The NPI number for Chan Kyu Park is 1639541485. It was assigned to this individual provider in the NPPES registry on October 20, 2015.
Where is Chan Kyu Park located?
Chan Kyu Park practices at 6630 Mcginnis Ferry Rd Suite B, Johns Creek, GA 30097. The listed phone number is (678) 473-0552.
What is Chan Kyu Park's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Chan Kyu Park enrolled in Medicare?
Yes. Chan Kyu 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.
Which organization bills Medicare for Chan Kyu Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chan Kyu Park reassigns Medicare benefits to Better Spine Better Health, LLC (Johns Creek, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chan Kyu Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chan Kyu Park accept?
Health plans from Providence Health Plan list Chan Kyu 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 Chan Kyu Park was last updated on January 14, 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.
# Chan Kyu Park, D.C. · NPI 1639541485
Chiropractor provider in Johns Creek, Georgia. Individual provider, active in the CMS NPPES registry since October 20, 2015.
## Identity
- **NPI:** 1639541485 (Entity type: Individual)
- **Enumerated:** October 20, 2015
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CHIR009022 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 6630 MCGINNIS FERRY RD, SUITE B, Johns Creek, GA 30097-2164
- **Phone:** (678) 473-0552 · **Fax:** (678) 473-0656
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Better Spine Better Health, LLC (NPI 1588908685, Johns Creek, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Life Chiropractic College, class of 2012
## Record status
- **NPPES last updated:** January 14, 2022
- **Other identifiers:** Other 1588908685 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1639541485) · Data from the CMS NPPES public registry.