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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIJEONG PARK CPNP
NPI 1710354907
Nurse Practitioner - Pediatrics in Norcross, GA

Active since August 24, 2015
6286 OAKWOOD CIR, NORCROSS, GA 30093(678) 248-2350 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 15, 2026, Jun 11, 2019, Apr 2, 2019 and 2 more (5 updates tracked since 2017).

About Mijeong Park Cpnp NPPES

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

MIJEONG PARK CPNP (NPI 1710354907) is an individual pediatrics provider in Norcross, Georgia, licensed in Georgia (RN306003) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1710354907
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMIJEONG PARKCredential: CPNP
Location Address6286 OAKWOOD CIRNorcross, GA 30093-1629
Mailing Address6286 Oakwood CirNorcross, GA 30093-1629
Phone(678) 248-2350
Sole ProprietorNo
Enumeration DateAugust 24, 2015
Last NPPES UpdateSeptember 15, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1710354907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · RN306003
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License RN306003 (GA)
6286 OAKWOOD CIR, Norcross, GA 30093
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Other Identifiers 16

Other1579732NC · Wellpath
Other1710354907NC · Humana
Other1710354907NC · Doctors Direct
Other1710354907NC · Healthnet Federal Services
Other298447NC · Medcost
Other4632274NC · Coventry National - Coventry Ppo
OtherFH4002315NC · First Carolina Care
Other1579732NC · Coventry Of The Carolinas
Medicaid1710354907TX
Other4948746NC · Aetna
Other135452367NC · Phcs/multiplan
Other1710354907NC · Healthsmart
Medicaid1710354907NC
Other19EFKNC · Bcbs Of Nc
Other3455644NC · Cigna/greatwest
Other5707800NC · United Healthcare

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.

MERCEDES ELIZA MONCADA CPNP-PC
Nurse Practitioner (Pediatrics)
6286 OAKWOOD CIR
NORCROSS, GA 30093
Gwinnett County (678) 248-2350
STAY WELL PEDIATRICS LLC
Pediatrics
6286 OAKWOOD CIR
NORCROSS, GA 30093
Gwinnett County (678) 248-2350

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 Mijeong Park's NPI number?

The NPI number for Mijeong Park is 1710354907. It was assigned to this individual provider in the NPPES registry on August 24, 2015.

Where is Mijeong Park located?

Mijeong Park practices at 6286 Oakwood Cir, Norcross, GA 30093. The listed phone number is (678) 248-2350.

What is Mijeong Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mijeong Park was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.