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YAEJIN PARK MD
NPI 1750910527
Psychiatry & Neurology - Psychiatry in Atlanta, GA

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment
10 GLENLAKE PKWY STE 130, ATLANTA, GA 30328(833) 351-8255 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 4, 2024, Jul 17, 2024, Dec 6, 2022 and 1 more (4 updates tracked since 2020).

About Yaejin Park Md NPPES

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

YAEJIN PARK MD (NPI 1750910527) is an individual psychiatry provider in Atlanta, Georgia, licensed in Georgia (102035) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2020).

NPPES Registry Identity

NPI1750910527
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameYAEJIN PARKCredential: MD
Location Address10 GLENLAKE PKWY STE 130Atlanta, GA 30328-3495
Mailing AddressPo Box 24449New York, NY 10087-0589 · (833) 351-8255
Phone(833) 351-8255
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2020
Enumeration DateApril 3, 2020
Last NPPES UpdateJanuary 15, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2025
✔ NPI 1750910527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in GA · 102035✔ Licensed in NY · 315124✔ Licensed in VA · 0101281531✔ Licensed in DC · MD500002848✔ Licensed in MD · D0100175
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
10 GLENLAKE PKWY STE 130, Atlanta, GA 30328
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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

Yaejin Park Md 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 ID6800227497
PECOS Enrollment IDI20241127000188
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30328 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

ALPHA COMFORT CARE, INC
Home Health
10 GLENLAKE PKWY STE 130
ATLANTA, GA 30328
Fulton County (678) 224-8202
INDEPENDENT WELLNESS GROUP
Durable Medical Equipment & Medical Supplies
10 GLENLAKE PKWY STE 130
ATLANTA, GA 30328
Fulton County (800) 422-2346
TRUSTED CHOICE CARE LLC
In Home Supportive Care
10 GLENLAKE PKWY STE 130
ATLANTA, GA 30328
Fulton County (678) 870-8505
CARING PARTNERS MEDICAL GROUP, LLC
Family Medicine
10 GLENLAKE PKWY STE 130
ATLANTA, GA 30328
Fulton County (404) 580-0270
WELL-KONNECT LLC
Clinic/Center (Federally Qualified Health Center (FQHC))
10 GLENLAKE PKWY STE 130
SANDY SPRINGS, GA 30328
Fulton County (240) 620-1587
MISS FLORISSA C MAHER
In Home Supportive Care
10 GLENLAKE PKWY STE 130
SANDY SPRINGS, GA 30328
Fulton County (678) 222-3487
WINNIE HAMILTON
Specialist/Technologist, Health Information
10 GLENLAKE PKWY STE 130
ATLANTA, GA 30328
Fulton County (706) 662-8862
SGA CARE OF GA II, LLC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
10 GLENLAKE PKWY STE 130
ATLANTA, GA 30328
Fulton County (615) 386-0064

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 Yaejin Park's NPI number?

The NPI number for Yaejin Park is 1750910527. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Yaejin Park located?

Yaejin Park practices at 10 Glenlake Pkwy Ste 130, Atlanta, GA 30328. The listed phone number is (833) 351-8255.

What is Yaejin Park's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Yaejin Park enrolled in Medicare?

Yes. Yaejin 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.

Is Yaejin Park affiliated with any hospitals?

According to CMS data, Yaejin Park is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Yaejin Park was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.