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

Jin Park, MD

Individual provider Diagnostic Radiology Physician · NPI 1649399338

Jin Park, MD is a Diagnostic Radiology in Atlanta, Georgia. Qualified in 2002, 24 years ago. Practices with Northside Radiology Associates LLC, a 384-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia, North Carolina and Pennsylvania.

Years since qualifying
24
Licensed in
GA, NC, PA
In the registry since
2007
Specialties on file
4
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

1000 Johnson Ferry Rd NE Radiology Dept
Atlanta, GA 30342-1606
Phone: (404) 851-6323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 743 Spring St Ne, Gainesville, GA 30501-3715 — (770) 219-8420

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 060547 (GA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2005-01290 (NC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 060547 (GA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence MD430802 (PA)

Record details

NPI number1649399338
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2007
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Northside Radiology Associates Llc — 384 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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