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Mijeong Park, CPNP

Pediatric Nurse Practitioner in Norcross, GA · enumerated 2015 · practices at Stay Well Pediatrics LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710354907

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Registry record

Entity type Individual (Type 1)
Name Mijeong Park
Credential CPNP
Sex Female
Practice address 6286 Oakwood Cir, Norcross, GA, 30093
Enumeration date Aug 24, 2015
Last updated in NPPES Oct 26, 2025

Taxonomy & licenses

363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License RN306003 (GA) Primary

Other identifiers

Identifier Type State Issuer
1579732 Other NC WELLPATH
1710354907 Other NC HUMANA
1710354907 Other NC DOCTORS DIRECT
1710354907 Other NC HEALTHNET FEDERAL SERVICES
298447 Other NC MEDCOST
4632274 Other NC COVENTRY NATIONAL - COVENTRY PPO
FH4002315 Other NC FIRST CAROLINA CARE
1579732 Other NC COVENTRY OF THE CAROLINAS
1710354907 Medicaid TX -
4948746 Other NC AETNA
135452367 Other NC PHCS/MULTIPLAN
1710354907 Other NC HEALTHSMART
1710354907 Medicaid NC -
19EFK Other NC BCBS OF NC
3455644 Other NC CIGNA/GREATWEST
5707800 Other NC UNITED HEALTHCARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1710354907 active?
Yes, as of the latest NPPES snapshot, NPI 1710354907 is active (record last updated 2025-10-26).
How do I verify Mijeong Park's NPI record?
Cross-check NPI 1710354907 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-26.