Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Alexander D. Park, MD

Individual provider Surgery Physician · NPI 1710946314

Dr. Alexander D. Park, MD is a General Surgery in Suwanee, Georgia. Graduated from University of Missouri, Kansas City, School of Medicine in 1991, 35 years ago. Practices with Park Surgical Specialists LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
35
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4255 Johns Creek Pkwy Ste D
Suwanee, GA 30024-6122
Phone: (678) 894-2151
Fax: (678) 894-1745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5673 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1731 — (404) 252-6118

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 043733 (GA)

Record details

NPI number1710946314
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2006
Last updated in NPPESOctober 23, 2018
Mailing address4255 Johns Creek Pkwy Ste D, Suwanee, GA 30024-6122

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Park Surgical Specialists Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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