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

Dr. Kevin U Park, MD

Individual provider Orthopaedic Surgery of the Spine Physician · NPI 1356579627

Dr. Kevin U Park, MD is an Orthopedic Surgery in Fayetteville, Georgia. Graduated from Tulane University School of Medicine in 2009, 17 years ago. Practices with Piedmont Orthopedics, LLC, a 192-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
17
Trained at
Tulane University School of Medicine
Licensed in
GA
In the registry since
2009
Specialties on file
2
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

1265 Highway 54 W Suites 102 And 308
Fayetteville, GA 30214-4548
Phone: (770) 460-1900
Fax: (770) 719-1214
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 74050 (GA)
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X · Licence 074050 (GA)

Record details

NPI number1356579627
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2009
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022
Mailing address900 Circle 75 Sepkwy 1700, Atlanta, GA 30339-3087

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Piedmont Orthopedics, Llc — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount