Soomi Park, PA-C
NPI 1184358566ActiveIndividual· Physician Assistant· Cumming, GA
Physician Assistant (PA-C) with Northside Cardiovascular Professional Services, LLC, practicing in Cumming, Georgia. Their prescriptions cost Medicare Part D more than their services did: $24,219 for 215 claims, against $1,996 paid for services in 2024. Ancora Heart, Inc. was the largest of 5 companies reporting payments in 2025, $221.89 in all, mostly food and beverage. Lists Northside Hospital Gwinnett as a hospital affiliation.
Overview
| NPI | 1184358566 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 12, 2022 |
| Last updated in NPPES | Jan 10, 2025 |
| Certified by provider | Jan 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 12815 | GA |
| Physician Assistant | 363A00000X | 50.007530RX | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 27 |
|---|---|
| Services billed | 29 across 5 procedure codes |
| Paid by Medicare | $1,996 |
Part D prescriptions in 2024
| Prescriptions (claims) | 215 · 253 30-day fills |
|---|---|
| Patients | 54 |
| Total drug cost | $24,219 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Northside Cardiovascular Professional Services, LLCAtlanta, GA · 173 clinicians
Hospital affiliation
- Northside Hospital GwinnettLawrenceville, GA
Industry payments (Open Payments)
- 2025$221.89 · 7 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ancora Heart, Inc. | $64.63 | 1 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $51.55 | 2 |
| Merck Sharp & Dohme LLC | $47.57 | 2 |
| Alnylam Pharmaceuticals Inc. | $34.02 | 1 |
| E.R. Squibb & Sons, L.L.C. | $24.12 | 1 |
What the 2025 payments were for
- Food and Beverage$221.89 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 89 physician assistants in Cumming · All physician assistants in Georgia