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: October 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2019, Apr 2, 2019, Mar 17, 2018 and 1 more (4 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
Sole ProprietorNo
Enumeration DateAugust 24, 2015
Last NPPES UpdateOctober 26, 20254 updates tracked since enumeration
NPPES CertifiedOctober 26, 2025
NPI 1710354907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in GA · RN306003
6286 OAKWOOD CIR, Norcross, GA 30093

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.

Nurse Practitioner (Pediatrics)
6286 OAKWOOD CIR
NORCROSS, GA 30093
Clinic/Center (Primary Care)
6286 OAKWOOD CIR
NORCROSS, GA 30093

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 October 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.