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CHAN KYU PARK D.C.
NPI 1639541485
Chiropractor in Johns Creek, GA

Active since October 20, 2015Accepts Medicare Assignment
6630 MCGINNIS FERRY RD, SUITE B, JOHNS CREEK, GA 30097(678) 473-0552(678) 473-0656 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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

NPI1639541485
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameCHAN KYU PARKCredential: D.C.
Location Address6630 MCGINNIS FERRY RD, SUITE BJohns Creek, GA 30097-2164
Mailing Address6630 Mcginnis Ferry Rd Ste BJohns Creek, GA 30097-1563 · (678) 473-0552 · Fax (678) 473-0656
Phone(678) 473-0552
Fax(678) 473-0656
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2012
Enumeration DateOctober 20, 2015
Last NPPES UpdateJanuary 14, 2022
NPPES CertifiedJanuary 14, 2022
✔ NPI 1639541485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIR009022
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X · License CHIR009022 (GA)
Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X · License CHIR009022 (GA)
6630 MCGINNIS FERRY RD, Johns Creek, GA 30097
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Other Identifiers 1

Other1588908685GA · Group Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

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.

PECOS PAC ID8921417411
PECOS Enrollment IDI20210513002249

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.

NORTHWEST DIAGNOSTIC IMAGING, INC
Radiology (Diagnostic Radiology)
6630 MCGINNIS FERRY RD
JOHNS CREEK, GA 30097
Gwinnett County (770) 622-9158
OPEN MRI OF GEORGIA, INC
Radiology (Diagnostic Radiology)
6630 MCGINNIS FERRY RD
DULUTH, GA 30097
Gwinnett County (770) 622-9158
ADVANCED PLASTIC SURGERY SOLUTIONS, LLC
Plastic Surgery
6630 MCGINNIS FERRY RD, SUITE B
DULUTH, GA 30097
Gwinnett County (678) 205-8400
BETTER SPINE BETTER HEALTH, LLC
Chiropractor (Rehabilitation)
6630 MCGINNIS FERRY RD, SUITE B
JOHNS CREEK, GA 30097
Gwinnett County (678) 473-0552
TOTAL SLEEP HOLDINGS, INC.
Clinic/Center (Sleep Disorder Diagnostic)
6630 MCGINNIS FERRY RD, STE B
DULUTH, GA 30097
Gwinnett County (770) 237-8440
COMPREHENSIVE FOOT & ANKLE, LLC
Podiatrist
6630 MCGINNIS FERRY RD, SUITE B
JOHNS CREEK, GA 30097
Gwinnett County (770) 476-7229
TOTAL SLEEP DIAGNOSTICS, INC.
Clinic/Center (Sleep Disorder Diagnostic)
6630 MCGINNIS FERRY RD, STE B
DULUTH, GA 30097
Gwinnett County (678) 473-0944
KATRINA GODDARD WILLIAMS M.S., LIC-A
Audiologist
6630 MCGINNIS FERRY RD, SUITE B
DULUTH, GA 30097
Gwinnett County (404) 297-4230

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.

What insurance does Chan Kyu Park accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer 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.