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

Dr. Justin Park, MD

Individual provider Sleep Medicine (Family Medicine) Physician · NPI 1225536816

Dr. Justin Park, MD is a Sleep Medicine in Austell, Georgia. Qualified in 2018, 8 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1664 Mulkey Rd
Austell, GA 30106-1114
Phone: (770) 422-1372
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sleep Medicine (Family Medicine) Physician (primary) Taxonomy 207QS1201X · Licence 104097 (GA)

Record details

NPI number1225536816
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 29, 2018
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing address1664 Mulkey Rd, Austell, GA 30106-1114

Medicare enrollment

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

Medicare specialtySLEEP MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare