Park Surgical Specialists, LLC
NPI 1083122055 · Specialist · Suwanee, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Park Surgical Specialists, LLC is a Specialist organization in Suwanee, GA (NPI 1083122055).
Provider details
- NPI number
- 1083122055
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Terri Mcdonald, Credentialing(404) 414-8047
- License
- 32801 (GA)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-01-12
- Last updated
- 2018-10-01
Frequently asked questions
- What is Park Surgical Specialists, LLC's NPI number?
- Park Surgical Specialists, LLC's National Provider Identifier (NPI) is 1083122055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Surgical Specialists, LLC?
- Park Surgical Specialists, LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Park Surgical Specialists, LLC located?
- Park Surgical Specialists, LLC's practice location on file with NPPES is 4255 Johns Creek Pkwy Ste D, Suwanee, GA 30024-6122.
- What is Park Surgical Specialists, LLC's phone number?
- The practice phone number listed in the NPPES registry for Park Surgical Specialists, LLC is (404) 414-8047.
- Does Park Surgical Specialists, LLC accept Medicare?
- Park Surgical Specialists, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Park Surgical Specialists, LLC?
- The authorized official listed on Park Surgical Specialists, LLC's NPPES record is Terri Mcdonald, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Surgical Specialists, LLC's NPI active?
- Yes — Park Surgical Specialists, LLC's NPI (1083122055) is active in the NPPES registry as of the last update on 2018-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.