Kevin Park, MD
Kevin Park, MD is an Orthopaedic Surgery Physician in Fayetteville, GA, registered under NPI 1356579627. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 1265 HIGHWAY 54 W SUITES 102 AND 308, Fayetteville, GA 30214. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 74050 | GA | Orthopaedic Surgery Physician primary |
| 074050 | GA | Orthopaedic Surgery of the Spine Physician |
This provider holds licence 74050 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Orthopedic Surgery
- PAC ID
- 9537386024
Medicare enrolment is recorded as approved under the provider type Practitioner - Orthopedic Surgery. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Orthopaedic Surgery covers
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. NUCC Health Care Provider Taxonomy, code 207X00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery Physician | 74050 | GA | primary |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician Orthopaedic Surgery of the Spine | 074050 | GA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1356579627 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 25, 2009 |
| Last updated | Aug 11, 2022 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
1265 HIGHWAY 54 W SUITES 102 AND 308 Fayetteville, GA 30214 (770) 460-1900 Fax (770) 719-1214 |
| Mailing address |
900 CIRCLE 75 SEPKWY 1700 Atlanta, GA 30339 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 5 | 6 | 5 | 7 | 9 | 6 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 1 | 6 | 1 | 7 | 9 | 6 | 4 |
Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.