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JUNG TAE PARK
NPI 1225409147
Clinic/Center - Primary Care in Whitwell, TN

Active since October 19, 2015
13851 HIGHWAY 28, WHITWELL, TN 37397(423) 658-9200(423) 658-2195 Get Directions Write a Review

NPPES record last updated: November 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jung Tae Park NPPES

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

JUNG TAE PARK (NPI 1225409147) is a healthcare organization registered as a primary care in Whitwell, Tennessee and active in the NPI registry since October 2015. The organization lists Jung Tae Park, Md-owner, as its authorized official.

NPPES Registry Identity

NPI1225409147
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWHITWELL MEDICAL PLAZA
Location Address13851 HIGHWAY 28Whitwell, TN 37397-5373
Mailing Address13851 Highway 28 Po Box 400Whitwell, TN 37397-5373 · (423) 658-9200 · Fax (423) 658-2195
Phone(423) 658-9200
Fax(423) 658-2195
Organization SubpartNo
Authorized OfficialJung Tae ParkMd-owner · (423) 658-9200
Enumeration DateOctober 19, 2015
Last NPPES UpdateNovember 1, 2017
✔ NPI 1225409147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
13851 HIGHWAY 28, Whitwell, TN 37397
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Other Names 1

Doing Business AsJung Tae Park

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN S TODD LADC
Counselor (Addiction (Substance Use Disorder))
13851 HIGHWAY 28
WHITWELL, TN 37397
Marion County (423) 658-9200
BRENDA ROSS MD PC
Family Medicine
13851 HIGHWAY 28
WHITWELL, TN 37397
Marion County (423) 658-9200
PARK MEDICAL
Clinic/Center (Rural Health)
13851 HIGHWAY 28
WHITWELL, TN 37397
Marion County (423) 658-9200
MICHELLE DENISE GULLEY FNP-C
Nurse Practitioner (Family)
13851 HIGHWAY 28
WHITWELL, TN 37397
Marion County (423) 658-9200
KIMBERLY GEAN REDFEARN NP-C
Nurse Practitioner (Family)
13851 HIGHWAY 28
WHITWELL, TN 37397
Marion County (423) 658-9200
DR. ALAN DEWITT KENNETT KELLEY MD
Family Medicine
13851 HIGHWAY 28
WHITWELL, TN 37397
Marion County (423) 658-9200
CHARLIE WEICHIN FANG MD
Family Medicine
13851 HIGHWAY 28
WHITWELL, TN 37397
Marion County (423) 653-9210
MR. JUNG TAE PARK MD
Family Medicine (Adult Medicine)
13851 HIGHWAY 28
WHITWELL, TN 37397
Marion County (423) 658-9200

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 Whitwell Medical Plaza's NPI number?

The NPI number for Whitwell Medical Plaza is 1225409147. It was assigned to this organization in the NPPES registry on October 19, 2015. The provider is doing business as Jung Tae Park.

Where is Whitwell Medical Plaza located?

Whitwell Medical Plaza is located at 13851 Highway 28, Whitwell, TN 37397. The listed phone number is (423) 658-9200.

What is Whitwell Medical Plaza's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Whitwell Medical Plaza accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Whitwell Medical Plaza 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 Whitwell Medical Plaza was last updated on November 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.