Soomi Park, PA-C
Soomi Park, PA-C is a Physician Assistant in Cumming, Georgia. Qualified in 2021, 5 years ago. Practices with Northside Cardiovascular Professional Services, LLC, a 142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Ohio.
- Years since qualifying
- 5
- Licensed in
- GA, OH
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1200 Northside Forsyth DrCumming, GA 30041-7659
Phone: (770) 844-3295
Fax: (404) 250-7330
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3525 Olentangy River Rd Ste 4330, Columbus, OH 43214-3937 — (614) 255-6900
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 12815 (GA) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 50.007530RX (OH) |
Record details
| NPI number | 1184358566 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | July 12, 2022 |
| Last updated in NPPES | January 10, 2025 |
| Certification date | January 10, 2025 |
| Mailing address | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Northside Cardiovascular Professional Services, Llc — 142 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Cumming
-
Matthew V Myers, PA-C
105 Professional Park Dr, Cumming, GA 30040-2381 · (770) 800-3455
-
Mr. Kevin Nguyen, PA
868 Buford Hwy, Cumming, GA 30041 · (678) 284-2006
-
Ellen Ortlip
4835 Westgate Dr, Cumming, GA 30040-9446 · (770) 355-8596
-
Mrs. Lindsay N. M. Owen, PA-C
3970 Dep Bill Cantrell Memorial Rd, Cumming, GA 30040-3011 · (678) 513-2273
-
Mr. Pretesh Parmar, MPH, MPA, PA-C
1100 Northside Forsyth Dr Ste 340, Cumming, GA 30041-6012 · (770) 886-8111
-
Mrs. Shairoz Sultan Patel, PA-C
3970 Deputy Bill Cantrell Memorial Rd Ste 220, Cumming, GA 30040 · (770) 336-7795
-
Lisa Pietrangelo, PA-C
1200 Northside Forsyth Dr, Cumming, GA 30041-7659 · (770) 844-3200
-
Katherine Elizabeth Pulliam
4020 Northridge Dr, Cumming, GA 30040-1721 · (260) 449-6549