GEORGE TIMOTHY PARK (MD) – Internal Medicine Physician, NPI 1558369173

GEORGE TIMOTHY PARK (MD) is a healthcare provider. based in Social circle, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 022859 (GA). The NPI Number for GEORGE TIMOTHY PARK (MD) is 1558369173

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
GEORGE TIMOTHY PARK (MD)
NPI
1558369173
Phone
(678) 342-6000
Address
551 N CHEROKEE RD
Enumeration Date
8 July 2005
Last Update Date
2 May 2017

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7707889970
Graduation Year
1980 (46 years ago)
PAC ID
3476528852
Group Practice PAC ID
6002802220
Professional Enrollment ID
I20110127000477
Address ID
GA300142066CO7143XNWXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,409 INTERNAL MEDICINE in GA

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Provider Addresses for GEORGE TIMOTHY PARK (MD)

  • Piedmont Physicians of Social Circle, 551, North Cherokee Road, Social Circle, Walton County, Georgia, 30025, United States

    SOCIAL CIRCLE, GA 300252887

    Phone: (678) 342-6000

    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 13 Open Payments records for all available years, with a total value of $247.

Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Dexcom, Inc. ($156).

Total Amount

$247

General + Research + Ownership

Payments

13

Total payment records

General Amount

$247

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-01-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110127000477IInternal MedicineGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4544$0
36415Insertion of needle into vein for collection of blood sample3636$0
99213Established patient office or other outpatient visit, 20-29 minutes3332$0
81003Automated urinalysis test2222$0
99442Telephone medical discussion with physician, 11-20 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 30025)

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Provider's Procedures

GEORGE TIMOTHY PARK (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEGA73630X-ray of foot, minimum of 3 views1515
INTERNAL MEDICINEGA82270Stool analysis for blood to screen for colon tumors125125
INTERNAL MEDICINEGA90670Pneumococcal vaccine for injection into muscle135134

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002802220View full group profile

Reviews

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Frequently asked questions

What NPI should I save for GEORGE TIMOTHY PARK (MD)?
Save NPI 1558369173 if you need a stable reference for GEORGE TIMOTHY PARK (MD).
Is GEORGE TIMOTHY PARK (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize GEORGE TIMOTHY PARK (MD)'s specialty in plain language?
Clinically, the directory lists GEORGE TIMOTHY PARK (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place GEORGE TIMOTHY PARK (MD)?
The snapshot lists Social Circle, Georgia for GEORGE TIMOTHY PARK (MD); download NPPES for the complete set.
What if Social Circle, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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