Doctor profile · Federal record
Dr. Soojeong Park, MS, RD, CDE
Registered Dietitian (CMS: Registered Dietitian or Nutrition Professional) · Registered Dietitian · Atlanta, GA
- NPI 1902036148
- Accepts Medicare
- MIPS 86.9 / 100 · 2023
- 20 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
550 Peachtree St Ne
Atlanta, GA 303082212
(404) 778-4991 - Mailing address
-
2698 Knox Creek RD
Duluth, GA 300972630
Credentials & registration
- NPI registered
- July 2009 — 17 yrs on file
- Profile last updated
- July 6, 2021
- Year of graduation
- 2006 — 20 yrs since
- Specialty taxonomy
- 133V00000X — NUCC code
- State licenses (2)
- Georgia #LD005865 · California #1031483
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1902036148. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
255
Distinct HCPCS
3
Medicare allowed
$5,550
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
G0109 |
Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes | 135 | 16 | $15 | |
97802 |
Therapy procedure for nutrition management, each 15 minutes | 67 | 22 | $31 | |
97803 |
Therapy procedure reassessment for nutrition management, each 15 minutes | 53 | 15 | $27 |
In context: peer comparison
Among 4 peers in Atlanta Registered Dietitian, average services per provider: 105. This provider delivers 2.4× the peer median.Frequently asked questions
What is Dr. Soojeong Park's medical specialty?
Dr. Soojeong Park practices Registered Dietitian in Atlanta, GA.
Where does Dr. Soojeong Park practice?
Dr. Soojeong Park practices at 550 Peachtree St Ne, Atlanta, GA 303082212. Office phone: 4047784991.
What is Dr. Soojeong Park's NPI?
Dr. Soojeong Park's National Provider Identifier (NPI) is 1902036148, issued by NPPES.
Does Dr. Soojeong Park accept Medicare assignment?
Yes. Dr. Soojeong Park accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Soojeong Park commonly perform?
Top Medicare-reported procedures in 2023: Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes (HCPCS G0109); Therapy procedure for nutrition management (HCPCS 97802); Therapy procedure reassessment for nutrition management (HCPCS 97803). Source: CMS Medicare Physician & Other Practitioners file.