NANYOUNG PARK (ANP-BC) – Adult Health Clinical Nurse Specialist, NPI 1043633084
Adult Health Clinical Nurse Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for NANYOUNG PARK (ANP-BC)
3590 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 300964817
Phone: (770) 614-9799
Fax: (770) 614-9789
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 210 Open Payments records for all available years, with a total value of $4,511.
Total Amount is formed as General ($4,511) + Research ($0) + Ownership ($0) = $4,511.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($410).
Total Amount
$4,511
General + Research + Ownership
Payments
210
Total payment records
General Amount
$4,511
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $410 |
| Celgene Corporation | $320 |
| Novartis Pharmaceuticals Corporation | $234 |
| PFIZER INC. | $209 |
| AstraZeneca Pharmaceuticals LP | $187 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-09-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140904001463 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 83 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 56 | 35 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 30096)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Physician Assistant | NC | |
| Nurse Practitioner | GA | |
| Medical Oncology | AL | |
| Nurse Practitioner | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| Nurse Practitioner | GA |
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