DR. JAYSON GARRETT PARK DO
NPI 1225880255
Student in an Organized Health Care Education/Training Program in Temple, TX
About Dr. Jayson Garrett Park Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAYSON GARRETT PARK DO (NPI 1225880255) is an individual student in an organized health care education/training program in Temple, Texas, licensed in Texas (BP10093092) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jayson Garrett Park Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jayson Park's NPI number?
The NPI number for Jayson Park is 1225880255. It was assigned to this individual provider in the NPPES registry on April 3, 2024.
Where is Jayson Park located?
Jayson Park practices at 2401 S 31st St, Temple, TX 76508. The listed phone number is (254) 724-5815.
What is Jayson Park's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jayson Park enrolled in Medicare?
Yes. Jayson Park is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jayson Park was last updated on June 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Dr. Jayson Garrett Park, DO · NPI 1225880255
Student in an Organized Health Care Education/Training Program provider in Temple, Texas. Individual provider, active in the CMS NPPES registry since April 3, 2024.
## Identity
- **NPI:** 1225880255 (Entity type: Individual)
- **Enumerated:** April 3, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** BP10093092 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2401 S 31ST ST, Temple, TX 76508-4543
- **Phone:** (254) 724-5815
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1225880255) · Data from the CMS NPPES public registry.