Individual provider Active NPI

Hannah Park, M.D.

  • Ophthalmology Physician
  • Roswell, GA
National Provider Identifier
1548657430
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
82392 Issued in GA
Practice address
2500 Hospital Blvd Ste 115
Roswell, GA 30076-4946
Phone
(770) 475-0123
NPI assigned
Apr 19, 2015
Last updated
Aug 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 82392 GA Primary

Addresses

Primary practice location

2500 Hospital Blvd Ste 115
Roswell, GA 30076-4946

Mailing address

2500 Hospital Blvd Ste 115
Roswell, GA 30076-4946
Phone (770) 475-0123

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190719002862 GA Practitioner - Ophthalmology 6608102272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of North Carolina at Chapel Hill School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Fulton Eye CenterGroup PAC ID 3476539735, 4 clinicians

Practice addresses (Care Compare)

1355 Hembree Rd
Roswell, GA 30076-3816
Phone (770) 475-0123

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.15 of 100Reported as group
Quality
90.37
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
82392GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Eye Center, LLC CurrentSince Mar 1, 2024 Accepting new patients
North Fulton Eye Center Ophthalmology CurrentSince Aug 1, 2019 Accepting new patients
Cumming Optical LLC Ophthalmology PastSince Jun 7, 2020 Accepting new patients
North Fulton Eye Center Optical, LLC PastSince May 28, 2024 Accepting new patients

Locations

990 Sanders Rd
#200
Cumming, GA 30041
Phone (770) 205-4100

2070 Pleasant Hill Rd
Ste 100
Duluth, GA 30096
Phone (770) 622-2020

1355 Hembree Rd
Roswell, GA 30076
Phone (770) 475-0123

2500 Hospital Blvd
Ste 115
Roswell, GA 30076
Phone (770) 360-8295

Interoperability endpoints

  • Direct secure messaging: hpark@northfultoneyecenter.updoxdirect.com
  • FHIR API: https://app.meldrx.com/api/fhir/R9I9LYWS

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.

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": "1429401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1548657430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD STE 115",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764946",
            "telephone_number": "770-475-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD STE 115",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764946",
            "telephone_number": "770-475-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HANNAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-19",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "82392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.