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Active NPI 1184358566 Individual Practitioner Female Practitioner

Soomi Park , PA-C

Physician Assistant • Cumming, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Soomi Park, PA-C is a certified Physician Assistant practicing in Cumming, GA. With approximately 5 years of clinical experience since completing medical education in 2021, Soomi Park delivers high-quality medical care to the local community at 1200 NORTHSIDE FORSYTH DR.

Soomi Park is affiliated with Northside Cardiovascular Professional Services, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1200 Northside Forsyth Dr

Cumming, GA 300417659

Telephone 7708443295
Fax 4042507330
Associated Practice Facility / Clinic
🏢 Northside Hospital Facility NPI 1487653283

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cumming, GA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -6.8 yrs vs City Avg
City Avg: 11.8 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
87 Specialists

Practicing in Cumming, GA (4726 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Park (5 Years) 5 Yrs
Cumming Specialty Average (11.8 Years) 11.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
18 18 $385.00 $102.21

Medical Specialties & State Licenses

CMS Verified: 2025-01-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 12815

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License OH 50.007530RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Northside Cardiovascular Professional Services, Llc

1285 Upper Hembree Rd, Roswell, GA 300761143

Phone: 7703438565

Northside Cardiovascular Professional Services, Llc

1505 Northside Blvd, Cumming, GA 300418245

Phone: 7708860036

Northside Cardiovascular Professional Services, Llc

575 Professional Dr, Lawrenceville, GA 300463335

Phone: 4703251910

Secondary Practice Locations

3525 Olentangy River Rd Ste 4330

Columbus, OH 432143937

Phone: 6142556900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. William Cumbie , DO

Orthopaedic Surgery

NPI 1043709553

Doctor of Osteopathic Medicine (D.O.)

Dr. Lucy Davidson , MD

Psychiatry & Neurology - Psychiatry

NPI 1093951436

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location January 10, 2025

Registered at 1200 NORTHSIDE FORSYTH DR, CUMMING, GA 300417659 (Tel: 7708443295)

📍
Updated Business Mailing Address January 10, 2025

Registered at 1200 NORTHSIDE FORSYTH DR, CUMMING, GA 300417659 (Tel: 7708443295)

📍
Updated Practice Location August 31, 2023

Registered at 181 TAYLOR AVE FL 13, COLUMBUS, OH 432031779 (Tel: 6146889337)

📍
Updated Business Mailing Address August 31, 2023

Registered at 181 TAYLOR AVE FL 13, COLUMBUS, OH 432031779 (Tel: 6146889337)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2023

Physician Assistant (License #50.007530RX in OH)

NPI Profile Active July 12, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2022

Registered at 3525 OLENTANGY RIVER RD STE 4330, COLUMBUS, OH 432143937 (Tel: 6142556900)

📍
Updated Business Mailing Address July 12, 2022

Registered at 3525 OLENTANGY RIVER RD STE 4330, COLUMBUS, OH 432143937 (Tel: 6142556900)

👤
Provider Name / Credentials Updated July 12, 2022

Recorded as SOOMI PARK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2022

Physician Assistant (License #50.007530 in OH)

🟢
Initial NPI Registration & Enumeration July 12, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184358566
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2022
Last Update: January 10, 2025
Sole Proprietor: No

Mailing Address

1200 Northside Forsyth Dr

Cumming, GA 300417659

Phone: 7708443295

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.