DR. JAE YOUNG PARK ACUPUNCTURIST
NPI 1023199924
Acupuncturist in Fort Gordon, GA

Q: What is Jae Park's NPI number?

The NPI number for Jae Park is 1023199924. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Q: What is Jae Park's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

Q: When was this NPI record last updated?

The NPPES record for Jae Park was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 18, 2006

300 W HOSPITAL RD BLDG 3006TH, INTERDISCIPLINARY PAIN MANAGEMENT CENTER, FORT GORDON, GA 30905(706) 787-0716(706) 787-0196 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jae Young Park Acupuncturist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAE YOUNG PARK ACUPUNCTURIST (NPI 1023199924) is an individual acupuncturist in Fort Gordon, Georgia, licensed in California (11226) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1023199924

Entity TypeIndividualMale

Primary Taxonomy171100000X

Provider Legal NameDR. JAE YOUNG PARKCredential: ACUPUNCTURIST

Location Address300 W HOSPITAL RD BLDG 3006TH, INTERDISCIPLINARY PAIN MANAGEMENT CENTERFort Gordon, GA 30905-5741

Mailing Address300 Hospital Rd, Interdisciplinary Pain Management CenterFort Gordon, GA 30905-5741 · (706) 787-8322 · Fax (706) 787-0196

Phone(706) 787-0716

Fax(706) 787-0196

Sole ProprietorNo

Enumeration DateOctober 18, 2006

Last NPPES UpdateJuly 28, 2015

✔ NPI 1023199924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers

Taxonomy Code171100000X

License✔ Licensed in CA · 11226

Definition

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

300 W HOSPITAL RD BLDG 3006TH, Fort Gordon, GA 30905

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jae Park's NPI number?

The NPI number for Jae Park is 1023199924. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Jae Park located?

Jae Park practices at 300 W Hospital Rd Bldg 3006th Interdisciplinary Pain Management Center, Fort Gordon, GA 30905. The listed phone number is (706) 787-0716.

What is Jae Park's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

What insurance does Jae Park accept?

Health plans from Blue Cross and Blue Shield of Texas list Jae Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jae Park was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.