HEATHER PENNELL PARK M.D.
NPI 1851510119
Surgery - Vascular Surgery in Carrollton, GA

Q: What is Heather Park's NPI number?

The NPI number for Heather Park is 1851510119. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Q: What is Heather Park's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Heather Park was last updated on March 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 25, 2007PECOS EnrolledAccepts Medicare Assignment

157 CLINIC AVE, SUITE 302, CARROLLTON, GA 30117(770) 812-5902(770) 812-5903 Get Directions Write a Review

NPPES record last updated: March 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Heather Pennell Park M.d. NPPES

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

HEATHER PENNELL PARK M.D. (NPI 1851510119) is an individual vascular surgery provider in Carrollton, Georgia, licensed in Georgia (67715) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2012).

NPPES Registry Identity

NPI1851510119

Entity TypeIndividualFemale

Primary Taxonomy2086S0129X

Provider Legal NameHEATHER PENNELL PARKCredential: M.D.

Location Address157 CLINIC AVE, SUITE 302Carrollton, GA 30117-4454

Mailing Address119 Ambulance Dr, Suite 202Carrollton, GA 30117-3857 · (770) 838-8710

Phone(770) 812-5902

Fax(770) 812-5903

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2012

Enumeration DateApril 25, 2007

Last NPPES UpdateMarch 14, 2016

✔ NPI 1851510119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in GA · 67715

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

157 CLINIC AVE, Carrollton, GA 30117

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Other Identifiers 2

Medicaid003124240AGA

Medicare PIN202I770324GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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

Heather Pennell Park M.d. 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 ID3072769223

PECOS Enrollment IDI20120803000666

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.

Areas of Expertise CMS Part B claims 16

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

120 services96 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

96 services92 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

67 services60 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

47 services39 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

38 services37 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

37 services32 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

35 services35 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

32 services21 patients

Ultrasound of hemodialysis access 93990

An ultrasound of hemodialysis access is a non-invasive procedure that uses sound waves to create images of your dialysis access site. It helps monitor the access site's health and detect any potential issues like blockages or narrowing.

26 services21 patients

Ultrasound study of arm and leg arteries 93922

24 services24 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

22 services15 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

17 services17 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

17 services16 patients

Review by radiologist of abdominal aorta image 75625

This is a procedure where a radiologist, a doctor specialized in medical imaging, examines an image of your abdominal aorta. The abdominal aorta is the large blood vessel that carries blood to your lower body. The radiologist checks for any abnormalities to ensure your overall vascular health.

16 services13 patients

Removal of blood clot and portion of chest, neck, or brain artery 35301

This procedure involves the removal of a blood clot and a section of an artery in the chest, neck, or brain. It is often necessary to restore normal blood flow, prevent stroke, or alleviate symptoms related to the clot. The procedure is carried out by a skilled medical team.

15 services14 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110011

Location705 Dixie StreetCarrollton, GA 30117 · Carroll County

Birthing friendly

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110015

Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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.

DAVID W GRIFFIN M.D.

Surgery

157 CLINIC AVE, SUITE 302
CARROLLTON, GA 30117

Carroll County (770) 834-3336

NORTHWEST GEORGIA ONCOLOGY CENTERS, PC

Durable Medical Equipment & Medical Supplies

157 CLINIC AVE, STE 101
CARROLLTON, GA 30117

Carroll County (770) 333-2220

PHYSICIANS CHOICE DIALYSIS OF WEST GEORGIA, LLC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

157 CLINIC AVE, SUITE 102
CARROLLTON, GA 30117

Carroll County (770) 832-2202

DAVID ERIC SCHOENFELD M.D.

Dermatology

157 CLINIC AVE, SUITE 301
CARROLLTON, GA 30117

Carroll County (770) 838-9333

DR. SCOTT ALVIN DENHAM M.D.

Emergency Medicine

157 CLINIC AVE, SUITE 302
CARROLLTON, GA 30117

Carroll County (770) 838-3336

DR. BRADLEY J. G. LARSON MD

Internal Medicine (Hematology & Oncology)

157 CLINIC AVE, STE 101
CARROLLTON, GA 30117

Carroll County (770) 333-2220

MARIA JOCELYN ORIG MD

Internal Medicine (Nephrology)

157 CLINIC AVE, STE 203
CARROLLTON, GA 30117

Carroll County (770) 832-0429

CARROLL COUNTY NEPHROLOGY LLC

Internal Medicine (Nephrology)

157 CLINIC AVE, SUITE 203
CARROLLTON, GA 30117

Carroll County (770) 832-0429

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 Heather Park's NPI number?

The NPI number for Heather Park is 1851510119. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Heather Park located?

Heather Park practices at 157 Clinic Ave Suite 302, Carrollton, GA 30117. The listed phone number is (770) 812-5902.

What is Heather Park's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Heather Park enrolled in Medicare?

Yes. Heather 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.

What insurance does Heather Park accept?

Health plans from Alliant Health Plans, Inc. list Heather 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 Heather Park affiliated with any hospitals?

According to CMS data, Heather Park is affiliated with Tanner Medical Center - Carrollton and Tanner Medical Center Villa Rica.

When was this NPI record last updated?

The NPPES record for Heather Park was last updated on March 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.