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

Dr. Ken H. Park, MD

Individual provider Internal Medicine Physician · NPI 1245214402

Dr. Ken H. Park, MD is an Internal Medicine in Watkinsville, Georgia. Graduated from Medical College of Georgia School of Medicine in 1998, 28 years ago. Practices with Oconee Primary Care, LLC, a 2-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
28
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2005
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

1624 Mars Hill Rd Ste B
Watkinsville, GA 30677-4813
Phone: (706) 310-1030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1199 Prince Ave, Athens, GA 30606-2793 — (706) 475-5076

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 050049 (GA)

Record details

NPI number1245214402
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 1, 2005
Last updated in NPPESJuly 19, 2019

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Oconee Primary Care, L.L.C. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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