Soojeong Kim Park, MS, RD, CDE in Atlanta, GA - Medicare Registered Dietitian Or Nutrition Professional Provider

Soojeong Kim Park, MS, RD, CDE is a medicare enrolled "Dietitian, Registered" provider in Atlanta, Georgia. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice The Emory Clinic, Inc and her current practice location is 550 Peachtree St Ne, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 778-4991.

Soojeong Kim Park is licensed to practice in Georgia (license number LD005865) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902036148.

Contact Information

	Soojeong Kim Park, MS, RD, CDE
	550 Peachtree St Ne, Atlanta, GA 30308-2212
	(404) 778-4991
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Soojeong Kim Park
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	18 Years
Location	550 Peachtree St Ne, Atlanta, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Soojeong Kim Park graduated from medical school in 2006

NPI Data:

NPI Number: 1902036148
Provider Enumeration Date: 07/22/2009
Last Update Date: 07/06/2021

Medicare PECOS Information:

PECOS PAC ID: 3779989827
Enrollment ID: I20210915001054

Medical Identifiers

Medical identifiers for Soojeong Kim Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902036148	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	1031483 (California)	Secondary
133V00000X	Dietitian, Registered	LD005865 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Emory Clinic, Inc	8820901408	2729

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Soojeong Kim Park allows following entities to bill medicare on her behalf.

Provider Name	The Emory Clinic Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Soojeong Kim Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Soojeong Kim Park, MS, RD, CDE 2698 Knox Creek Rd, Duluth, GA 30097-2630 Ph: (408) 482-1110	Soojeong Kim Park, MS, RD, CDE 550 Peachtree St Ne, Atlanta, GA 30308-2212 Ph: (404) 778-4991

Reviews and Comments

Dietitian, Registered in Atlanta, GA

Alexis Roberts, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2232 Dunseath Ave Nw Apt 413, Atlanta, GA 30318 Phone: 678-756-4091
Nancy Olivia Taylor, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1400 Tullie Rd Ne, Atlanta, GA 30329 Phone: 404-785-9465
Ms. Christine Nicole Swafford, M.S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 777 Cleveland Ave Sw, Suite 516, Atlanta, GA 30315 Phone: 404-761-0819 Fax: 404-768-2336
Shannon Leigh Davis, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 315 Boulevard Ne, Suite 332, Atlanta, GA 30312 Phone: 404-881-8020
Savannah Brittany Duffy, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1100 Johnson Fy Rd Ne Ste 350, Atlanta, GA 30342 Phone: 404-236-8036
Lindsey Webb, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3644 Chamblee Tucker Rd, Atlanta, GA 30341 Phone: 410-370-0415
Rachel D Agnew, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 404-851-6023

Soojeong Kim Park, MS, RD, CDE - Medicare Dietitian in Atlanta, GA