Jin Park, MD - Medicare Diagnostic Radiology in Atlanta, GA

Jin Park, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Atlanta, Georgia. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Northside Radiology Associates Llc and his current practice location is 1000 Johnson Ferry Rd Ne, Radiology Department, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 851-6323.

Jin Park is licensed to practice in Georgia (license number 060547) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649399338.

Contact Information

Jin Park, MD
1000 Johnson Ferry Rd Ne, Radiology Department,
Atlanta, GA 30342-1606
(404) 851-6323
Not Available

Map and Direction




Physician's Profile

Full NameJin Park
GenderMale
SpecialityDiagnostic Radiology
Experience22 Years
Location1000 Johnson Ferry Rd Ne, Atlanta, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jin Park attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1649399338
  • Provider Enumeration Date: 03/27/2007
  • Last Update Date: 05/06/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5092889741
  • Enrollment ID: I20080730000193

Medical Identifiers

Medical identifiers for Jin Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649399338NPI-NPPES
456003412MedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 060547 (Georgia)Secondary
2085R0202XRadiology - Diagnostic Radiology 2005-01290 (North Carolina)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology MD430802 (Pennsylvania)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 060547 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside Hospital ForsythCumming, GAHospital
Northside HospitalAtlanta, GAHospital
Northside Hospital CherokeeCanton, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northside Radiology Associates Llc4486555398222

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. Jin Park allows following entities to bill medicare on his behalf.
Entity NameNorthside Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013960657
PECOS PAC ID: 4486555398
Enrollment ID: O20040115000095

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. Jin 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 AddressPractice Location Address
Jin Park, MD
5605 Glenridge Dr Ste 325,
Atlanta, GA 30342-1365

Ph: (678) 553-7783
Jin Park, MD
1000 Johnson Ferry Rd Ne, Radiology Department,
Atlanta, GA 30342-1606

Ph: (404) 851-6323

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.