IndividualActive
Benjamin Park, MD
NPI 1124393558 · Internal Medicine Physician · Atlanta, GA
Benjamin Park, MD is a Internal Medicine Physician provider in Atlanta, GA (NPI 1124393558).
Provider details
- NPI number
- 1124393558
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 58091 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
1600 Clifton Rd Ne # Msc09
Atlanta, GA 30329-4018
Phone: (404) 639-1619
Fax: (404) 639-0070
Street-level locationGet directions
Mailing address
1600 Clifton Rd Ne # Msc09
Atlanta, GA 30329-4018
Registry dates
- Enumerated
- 2012-03-19
- Last updated
- 2012-03-19
Frequently asked questions
- What is Benjamin Park's NPI number?
- Benjamin Park's National Provider Identifier (NPI) is 1124393558, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Benjamin Park's specialty?
- Benjamin Park is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Benjamin Park located?
- Benjamin Park's practice location on file with NPPES is 1600 Clifton Rd Ne # Msc09, Atlanta, GA 30329-4018.
- What is Benjamin Park's phone number?
- The practice phone number listed in the NPPES registry for Benjamin Park is (404) 639-1619.
- Is Benjamin Park's NPI active?
- Yes — Benjamin Park's NPI (1124393558) is active in the NPPES registry as of the last update on 2012-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.