Jennie Park, MD
NPI 1821889775 · Obstetrics & Gynecology Physician · Augusta, GA
Enrolled with Medicare as Order and Referring Only - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennie Park, MD is a Obstetrics & Gynecology Physician provider in Augusta, GA (NPI 1821889775).
Provider details
- NPI number
- 1821889775
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 17618 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2025-05-12
- Last updated
- 2025-05-12
- Certified
- 2025-05-12
Frequently asked questions
- What is Jennie Park's NPI number?
- Jennie Park's National Provider Identifier (NPI) is 1821889775, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennie Park's specialty?
- Jennie Park is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Jennie Park located?
- Jennie Park's practice location on file with NPPES is 1459 Laney Walker Blvd, Augusta, GA 30912-0002.
- What is Jennie Park's phone number?
- The practice phone number listed in the NPPES registry for Jennie Park is (706) 721-2541.
- Does Jennie Park accept Medicare?
- Jennie Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennie Park's NPI active?
- Yes — Jennie Park's NPI (1821889775) is active in the NPPES registry as of the last update on 2025-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.