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

Michelle Park, MD

Individual provider Internal Medicine Physician · NPI 1811428667

Michelle Park, MD is a Hospice/Palliative Care in Marietta, Georgia. Qualified in 2017, 9 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2017
Specialties on file
2
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

310 Kennestone Hospital Blvd
Marietta, GA 30060-1120
Phone: (770) 793-7899
Fax: (770) 793-7856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1365 Clifton Rd Ne, Atlanta, GA 30322-3201 — (404) 778-0480

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary) Taxonomy 207RH0002X · Licence 88910 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 88910 (GA)

Record details

NPI number1811428667
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2017
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023
Mailing address310 Kennestone Hospital Blvd, Marietta, GA 30060-1120

Medicare enrollment

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

Medicare specialtyHOSPICE/PALLIATIVE CARE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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