Elizabeth Park, PA-C - Physician Assistant in Peachtree Corners, GA

Elizabeth Park, PA-C is a Physician Assistant based in Peachtree Corners, Georgia. Elizabeth Park is licensed to practice in Georgia (license number 8222) and her current practice location is 3965 Holcomb Bridge Rd Ste 100, Peachtree Corners, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 450-8677.

NPI number for Elizabeth Park is 1912431362 and her current mailing address is 3965 Holcomb Bridge Rd Ste 100, Peachtree Corners, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912431362.

Contact Information

Elizabeth Park, PA-C
3965 Holcomb Bridge Rd Ste 100,
Peachtree Corners, GA 30092-2203
(770) 450-8677
Not Available

Map and Direction




Provider's Profile

Full NameElizabeth Park
GenderFemale
SpecialityPhysician Assistant
Location3965 Holcomb Bridge Rd Ste 100, Peachtree Corners, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912431362
  • Provider Enumeration Date: 04/12/2017
  • Last Update Date: 01/31/2023

Medical Identifiers

Medical identifiers for Elizabeth Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912431362NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 8222 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizabeth Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Elizabeth Park, PA-C
3965 Holcomb Bridge Rd Ste 100,
Peachtree Corners, GA 30092-2203

Ph: (770) 450-8677
Elizabeth Park, PA-C
3965 Holcomb Bridge Rd Ste 100,
Peachtree Corners, GA 30092-2203

Ph: (770) 450-8677

Reviews and Comments


Physician Assistant Nurses in Peachtree Corners, GA

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Phone: 678-691-6529    Fax: 770-840-7464
Ms. Antoinette Theodore, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 5635 Peachtree Pkwy Ste 180, Peachtree Corners, GA 30092
Phone: 470-938-6670    Fax: 678-272-3144
Megan Treahy,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 3525 Holcomb Bridge Rd # 100, Peachtree Corners, GA 30092
Phone: 678-417-6900    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.