Jin Park, M.D.
NPI 1649399338ActiveIndividual· Radiology, Vascular & Interventional Radiology· Atlanta, GA
Radiology, Vascular & Interventional Radiology (M.D.) with Northeast Georgia Physicians Group Inc and 1 other group, practicing in Atlanta, Georgia. 951 Medicare patients in 2024, $104,903 paid; all of their 53 Part D prescriptions were generic. Penumbra, Inc. was the largest of 3 companies reporting payments in 2025, $208.39 in all, mostly food and beverage. Lists Northeast Georgia Medical Center, Inc and 1 other hospital as hospital affiliations.
Overview
| NPI | 1649399338 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Mar 27, 2007 |
| Last updated in NPPES | Oct 30, 2025 |
| Certified by provider | Oct 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Vascular & Interventional Radiology Primary | 2085R0204X | 060547 | GA |
| Radiology, Diagnostic Radiology | 2085R0202X | 2005-01290 | NC |
| Radiology, Diagnostic Radiology | 2085R0202X | 060547 | GA |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | MD430802 | PA |
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 - Diagnostic Radiology (GA); Practitioner - Interventional Radiology (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 951 |
|---|---|
| Services billed | 1,503 across 176 procedure codes |
| Paid by Medicare | $104,903 |
Part D prescriptions in 2024
| Prescriptions (claims) | 53 · 53 30-day fills |
|---|---|
| Patients | 18 |
| Total drug cost | $137.26 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Northeast Georgia Physicians Group IncGainesville, GA · 883 clinicians
- Gainesville Radiology Group PCLas Vegas, NV · 58 clinicians
Hospital affiliations
- Northeast Georgia Medical Center, IncGainesville, GA
- Northside HospitalAtlanta, GA
Industry payments (Open Payments)
- 2025$208.39 · 3 payments from 3 companies
- 2024$2,491 · 21 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Penumbra, Inc. | $168.88 | 1 |
| Reflow Medical Inc | $21.80 | 1 |
| Medtronic, Inc. | $17.71 | 1 |
What the 2025 payments were for
- Food and Beverage$208.39 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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