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

Hana Park

Individual provider Emergency Medicine Physician · NPI 1114546629

Hana Park is an Emergency Medicine in Fayetteville, Georgia. Graduated from Philadelphia College of Osteopathic Medicine in 2020, 6 years ago. Practices with Emergency Care Services of Pennsylvania PC, a 30-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
PA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone: (770) 719-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence OS022985 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114546629
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 14, 2020
Last updated in NPPESDecember 26, 2025
Certification dateDecember 26, 2025
Mailing address677 Church St Ne, Marietta, GA 30060-1101

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Emergency Care Services Of Pennsylvania Pc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fayetteville