SOOMEE PAK CRNA
NPI 1821527896
Nurse Anesthetist, Certified Registered in Lawrenceville, GA
About Soomee Pak Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOOMEE PAK CRNA (NPI 1821527896) is an individual nurse anesthetist, certified registered in Lawrenceville, Georgia, licensed in Georgia (APRN-CRNA140190) and active in the NPI registry since June 2017. She is affiliated with St Mary's Hospital and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Soomee Pak Crna 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
3Medicare enrollment records show Soomee Pak reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Athens, GA 30606
- Reassigned Medicare billing, Georgia enrollment
- 64 clinicians in this Medicare group
Blairsville, GA 30512
- Reassigned Medicare billing, Georgia enrollment
- 21 clinicians in this Medicare group
Fitzgerald, GA 31750
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Phoebe Physician Group Inc
- 1,118 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 3
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary's Hospital
Acute Care Hospitals · Athens, GAPhoebe Putney Memorial Hospital
Acute Care Hospitals · Albany, GANorthside Hospital Gwinnett
Acute Care Hospitals · Lawrenceville, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30046 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.
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
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 Soomee Pak's NPI number?
The NPI number for Soomee Pak is 1821527896. It was assigned to this individual provider in the NPPES registry on June 5, 2017. The provider is also known as Soo-Mee Jun.
Where is Soomee Pak located?
Soomee Pak practices at 1000 Medical Center Blvd, Lawrenceville, GA 30046. The listed phone number is (678) 312-4790.
What is Soomee Pak's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Soomee Pak enrolled in Medicare?
Yes. Soomee Pak 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 Soomee Pak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Soomee Pak reassigns Medicare benefits to 3 organizations: Anesthesia Consultants Of Athens (Athens, GA), Innovative Anesthesia Solutions LLC (Blairsville, GA) and Phoebe Dorminy Family Care (Fitzgerald, 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 Soomee Pak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Soomee Pak affiliated with any hospitals?
According to CMS data, Soomee Pak is affiliated with St Mary's Hospital, Phoebe Putney Memorial Hospital and Northside Hospital Gwinnett.
When was this NPI record last updated?
The NPPES record for Soomee Pak was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Soomee Pak, CRNA · NPI 1821527896
Nurse Anesthetist, Certified Registered physician in Lawrenceville, Georgia. Individual provider, active in the CMS NPPES registry since June 5, 2017.
## Identity
- **NPI:** 1821527896 (Entity type: Individual)
- **Enumerated:** June 5, 2017
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** APRN-CRNA140190 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046-7694
- **Phone:** (678) 312-4790
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Anesthesia Consultants Of Athens (NPI 1427005636, Athens, GA); Innovative Anesthesia Solutions LLC (NPI 1326706763, Blairsville, GA); Phoebe Dorminy Family Care (NPI 1992084644, Fitzgerald, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1821527896) · Data from the CMS NPPES public registry.