YAEJIN PARK MD
NPI 1750910527
Psychiatry & Neurology - Psychiatry in Atlanta, GA
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 maintains 6 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
5Medicare enrollment records show Yaejin Park reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 783 clinicians in this Medicare group
Columbus, GA 31904
- Reassigned Medicare billing, Georgia enrollment
- 8 clinicians in this Medicare group
Jacksonville, FL 32207
- Reassigned Medicare billing, Georgia enrollment
- 66 clinicians in this Medicare group
Fairfax, VA 22033
- Reassigned Medicare billing, District of Columbia enrollment
- 2,492 clinicians in this Medicare group
New York, NY 10003
- Reassigned Medicare billing, New York enrollment
- 50 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GANorthside Hospital Cherokee
Acute Care Hospitals · Canton, GANorthside Hospital
Acute Care Hospitals · Atlanta, GAPhysician 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.
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.
ATLANTA, GA 30328
SANDY SPRINGS, GA 30328
ATLANTA, GA 30328
ATLANTA, GA 30328
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.
Which organizations bill Medicare for Yaejin Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yaejin Park reassigns Medicare benefits to 5 organizations: North Atlanta Professional Services LLC (Atlanta, GA), My Therapy Doctor LLC (Columbus, GA), Mccd Fl Psychiatry Services PA (Jacksonville, FL), Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Fairfax, VA) and The Fifth Avenue Counseling Center, Inc. (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yaejin Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Yaejin Park accept?
Health plans from Oscar Health and UnitedHealthcare list Yaejin 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.
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 21 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.
# Yaejin Park, MD · NPI 1750910527
Psychiatry physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since April 3, 2020.
## Identity
- **NPI:** 1750910527 (Entity type: Individual)
- **Enumerated:** April 3, 2020
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 102035 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10 GLENLAKE PKWY STE 130, Atlanta, GA 30328-3495
- **Phone:** (833) 351-8255
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): North Atlanta Professional Services LLC (NPI 1316959869, Atlanta, GA); My Therapy Doctor LLC (NPI 1568249845, Columbus, GA); Mccd Fl Psychiatry Services PA (NPI 1659003457, Jacksonville, FL); Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1215058326, Fairfax, VA); The Fifth Avenue Counseling Center, Inc. (NPI 1801037270, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2020
## Record status
- **NPPES last updated:** January 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1750910527) · Data from the CMS NPPES public registry.