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

Soojeong Kim Park, MS, RD, CDE

Individual provider Registered Dietitian · NPI 1902036148

Soojeong Kim Park, MS, RD, CDE is a Registered Dietitian OR Nutrition Professional in Atlanta, Georgia. Qualified in 2006, 20 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Georgia.

Years since qualifying
20
Licensed in
CA, GA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.
CDE — Certified Diabetes Educator
Teaches people to manage diabetes day to day.

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Practice location Address checks out

550 Peachtree St NE
Atlanta, GA 30308-2212
Phone: (404) 778-4991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD005865 (GA)
Registered Dietitian Taxonomy 133V00000X · Licence 1031483 (CA)

Record details

NPI number1902036148
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , CDE
Sole proprietorNo
NPI enumeratedJuly 22, 2009
Last updated in NPPESJuly 6, 2021
Certification dateJuly 6, 2021

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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