YONG D. PARK (MD) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1760582712

YONG D. PARK (MD) is a healthcare provider. based in Augusta, Georgia. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 035114 (GA). The NPI Number for YONG D. PARK (MD) is 1760582712

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
YONG D. PARK (MD)
NPI
1760582712
Phone
(706) 828-6410
Address
1499 WALTON WAY
Enumeration Date
22 September 2006
Last Update Date
31 March 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7067218623
Graduation Year
1976 (50 years ago)
PAC ID
5698830925
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20090219000413
Address ID
GA309120004AU1120XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

686 NEUROLOGY in GA

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Provider Addresses for YONG D. PARK (MD)

  • 1499, Walton Way, Augusta, Richmond County, Georgia, 30901, United States

    STE 1400

    AUGUSTA, GA 309012650

    Phone: (706) 828-6410

    Type: Mailing

  • Augusta University Medical Center, 1120, 15th Street, Augusta, Richmond County, Georgia, 30912, United States

    AUGUSTA, GA 30912

    Phone: (706) 721-3371

    Fax: (706) 721-3377

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 188 Open Payments records for all available years, with a total value of $17,723.

Total Amount is formed as General ($17,723) + Research ($0) + Ownership ($0) = $17,723.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($13,392).

Total Amount

$17,723

General + Research + Ownership

Payments

188

Total payment records

General Amount

$17,723

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

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: 2009-02-19

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
I20090219000413INeurologyGATBD

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
95819Measurement of brain wave activity (eeg), awake and asleep8178$0
95813Measurement of brain wave activity (eeg), 61-119 minutes1111$0
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 30901)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

What NPI should I save for YONG D. PARK (MD)?
Save NPI 1760582712 if you need a stable reference for YONG D. PARK (MD).
Is YONG D. PARK (MD)'s NPI currently valid?
The extract we use shows YONG D. PARK (MD) as active.
What does YONG D. PARK (MD) treat or focus on?
Patients typically see YONG D. PARK (MD) under the specialty Neurology with Special Qualifications in Child Neurology Physician. Clinical services aligned with this taxonomy classification.
Does YONG D. PARK (MD) practice in Georgia?
You will see Augusta, Georgia on file for YONG D. PARK (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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