DAVID WILLIAM PARK MD
NPI 1730997529
Student in an Organized Health Care Education/Training Program in Gainesville, GA
About David William Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID WILLIAM PARK MD (NPI 1730997529) is an individual student in an organized health care education/training program in Gainesville, Georgia and active in the NPI registry since December 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)
David William Park Md 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 David Park's NPI number?
The NPI number for David Park is 1730997529. It was assigned to this individual provider in the NPPES registry on December 25, 2024.
Where is David Park located?
David Park practices at 743 Spring St NE, Gainesville, GA 30501. The listed phone number is (770) 219-9000.
What is David 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 David Park enrolled in Medicare?
Yes. David Park is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for David Park was last updated on July 1, 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.
# David William Park, MD · NPI 1730997529
Student in an Organized Health Care Education/Training Program provider in Gainesville, Georgia. Individual provider, active in the CMS NPPES registry since December 25, 2024.
## Identity
- **NPI:** 1730997529 (Entity type: Individual)
- **Enumerated:** December 25, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 743 SPRING ST NE, Gainesville, GA 30501-3715
- **Phone:** (770) 219-9000
## 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:** July 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1730997529) · Data from the CMS NPPES public registry.