Active NPI
Jasmine Jungmin Park, D.O.
- Internal Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 074162
- Practice address
- 232 19TH St NW Ste 7220
Atlanta, GA 30363-1131 - Phone
- (404) 367-3000
- NPI assigned
- Jun 22, 2011
- Last updated
- Feb 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 074162 | GA | Primary |
Addresses
Primary practice location
232 19TH St NW Ste 7220
Atlanta, GA 30363-1131
Mailing address
10745 Westside Way Ste 125
Alpharetta, GA 30009-7635
Other practice location 1
10745 Westside Way Ste 125
Alpharetta, GA 30009-7635
Phone (770) 410-4610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
232 19TH St NW
Suite 7220
Atlanta, GA 30363-1131
Phone (404) 367-3000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Professional Services, LLC | Current | Accepting new patients | |
| Piedmont Medical Care Corporation | Internal Medicine | Current | Accepting new patients |
| Carolyn H. Sigman, MD., PC | Internal Medicine | Past | Accepting new patients |
| Piedmont Providers LLC | Internal Medicine | Past | Accepting new patients |
Locations
105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860
232 19th St NW
Ste 7220
Atlanta, GA 30363
Phone (404) 367-3000
1855 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 565-0353
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
-
- Nephrology Physician
- Stockbridge, GA
- NPI 1104088905
-
- Internal Medicine Physician
- Alpharetta, GA
- NPI 1184829012
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1316233836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10745 WESTSIDE WAY STE 125",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300097635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 19TH ST NW STE 7220",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303631131",
"telephone_number": "404-367-3000"
}
],
"practiceLocations": [
{
"address_1": "10745 Westside Way Ste 125",
"address_purpose": "LOCATION",
"city": "Alpharetta",
"state": "GA",
"postal_code": "300097635",
"country_code": "US",
"telephone_number": "770-410-4610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARK",
"first_name": "JASMINE",
"middle_name": "JUNGMIN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "074162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.