YONG D. PARK MD
NPI 1760582712
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Augusta, GA
About Yong D. Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YONG D. PARK MD (NPI 1760582712) is an individual neurology with special qualifications in child neurology provider in Augusta, Georgia, licensed in Georgia (035114) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1976).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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
Yong D. 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
2Medicare enrollment records show Yong Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Augusta, GA 30912
- Reassigned Medicare billing, Georgia enrollment
- 1,151 clinicians in this Medicare group
Roswell, GA 30076
- Reassigned Medicare billing, Georgia enrollment
- 3,885 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
AUGUSTA, GA 30912
AUGUSTA, GA 30912
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 Yong Park's NPI number?
The NPI number for Yong Park is 1760582712. It was assigned to this individual provider in the NPPES registry on September 22, 2006.
Where is Yong Park located?
Yong Park practices at 1120 15th Street, Augusta, GA 30912. The listed phone number is (706) 721-3371.
What is Yong Park's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.
Is Yong Park enrolled in Medicare?
Yes. Yong 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 Yong Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yong Park reassigns Medicare benefits to 2 organizations: Au Medical Associates Inc (Augusta, GA) and Wellstar Medical Group, LLC (Roswell, GA). 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 Yong Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Yong Park accept?
Health plans from Alliant Health Plans, Inc. and Oscar Health list Yong 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.
When was this NPI record last updated?
The NPPES record for Yong Park was last updated on March 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.
# Yong D. Park, MD · NPI 1760582712
Neurology with Special Qualifications in Child Neurology physician in Augusta, Georgia. Individual provider, active in the CMS NPPES registry since September 22, 2006.
## Identity
- **NPI:** 1760582712 (Entity type: Individual)
- **Enumerated:** September 22, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology · taxonomy 2084N0402X
- **State license:** 035114 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 15TH STREET, Augusta, GA 30912
- **Phone:** (706) 721-3371 · **Fax:** (706) 721-3377
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Au Medical Associates Inc (NPI 1841230620, Augusta, GA); Wellstar Medical Group, LLC (NPI 1922405729, Roswell, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1976
## Record status
- **NPPES last updated:** March 31, 2011
- **Other identifiers:** Medicare UPIN E42917; Medicare ID-Type Unspecified 13BDBQV (GA); Medicaid G07909 (SC); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1760582712) · Data from the CMS NPPES public registry.