MINHYE PARK NP
NPI 1649968678
Nurse Practitioner in Fayetteville, GA

Active since April 27, 2023PECOS EnrolledAccepts Medicare Assignment
1267 HIGHWAY 54 W STE 2200, FAYETTEVILLE, GA 30214(770) 719-0051 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Minhye Park Np NPPES

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

MINHYE PARK NP (NPI 1649968678) is an individual nurse practitioner in Fayetteville, Georgia, licensed in Georgia (RN248964) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649968678
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMINHYE PARKCredential: NP
Location Address1267 HIGHWAY 54 W STE 2200Fayetteville, GA 30214-2110
Mailing Address1267 Highway 54 W Ste 2200Fayetteville, GA 30214-2110 · (770) 716-0051
Sole ProprietorNo
Enumeration DateApril 27, 2023
Last NPPES UpdateAugust 21, 2023
NPPES CertifiedAugust 21, 2023
NPI 1649968678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in GA · RN248964
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN248964 (GA)
1267 HIGHWAY 54 W STE 2200, Fayetteville, GA 30214

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

Minhye Park Np 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 ID8628439288
PECOS Enrollment IDI20230728001020
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 30214 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 20

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

Internal Medicine (Interventional Cardiology)
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214
Internal Medicine (Interventional Cardiology)
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214
Internal Medicine (Cardiovascular Disease)
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214
Internal Medicine (Cardiovascular Disease)
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214
Internal Medicine (Cardiovascular Disease)
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214
Nurse Practitioner (Family)
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214
Internal Medicine (Cardiovascular Disease)
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214
Nurse Practitioner
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214

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 Minhye Park's NPI number?

The NPI number for Minhye Park is 1649968678. It was assigned to this individual provider in the NPPES registry on April 27, 2023.

Where is Minhye Park located?

Minhye Park practices at 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214. The listed phone number is (770) 719-0051.

What is Minhye Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Minhye Park enrolled in Medicare?

Yes. Minhye 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.

When was this NPI record last updated?

The NPPES record for Minhye Park was last updated on August 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.