Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Heather Pennell Park, M.D.

Vascular Surgery Physician in Carrollton, GA · enumerated 2007.

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

National Provider Identifier

1851510119

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Registry record

Entity type Individual (Type 1)

Name Heather Pennell Park

Credential M.D.

Sex Female

Practice address 157 Clinic Ave, Suite 302, Carrollton, GA, 30117

Phone (770) 812-5902

Fax (770) 812-5903

Enumeration date Apr 25, 2007

Last updated in NPPES Mar 14, 2016

Taxonomy & licenses

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License 67715 (GA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
003124240A	Medicaid	GA	-

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 this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Heather Park?

Heather Park is registered in NPPES with the primary taxonomy of Vascular Surgery Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-03-14.