PARK MEDICAL CLINIC
NPI 1831710623
Family Medicine in Pontotoc, MS

Q: What is Chris Park Do PC's NPI number?

The NPI number for Chris Park Do PC is 1831710623. It was assigned to this organization in the NPPES registry on May 3, 2020. The provider is doing business as Park Medical Clinic.

Q: What is Chris Park Do PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Chris Park Do PC was last updated on February 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 03, 2020CLIA 25D2184536 · Waiver

47 S MAIN ST, PONTOTOC, MS 38863(662) 499-2802 Get Directions Write a Review

NPPES record last updated: February 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2022, Jun 15, 2020, May 26, 2020 (3 updates tracked since 2020).

On this page

About Park Medical Clinic NPPES

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

PARK MEDICAL CLINIC (NPI 1831710623) is a healthcare organization registered as a family medicine in Pontotoc, Mississippi and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through May 20, 2028 and lists Christopher Park, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1831710623

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCHRIS PARK DO PC

Location Address47 S MAIN STPontotoc, MS 38863-2823

Mailing AddressPo Box 507Pontotoc, MS 38863-0507 · (662) 308-7045

Phone(662) 499-2802

Organization SubpartNo

Authorized OfficialChristopher ParkOwner/physician · (662) 397-4597

Enumeration DateMay 3, 2020

Last NPPES UpdateFebruary 18, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2024

✔ NPI 1831710623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

47 S MAIN ST, Pontotoc, MS 38863

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Other Names 1

Doing Business AsPark Medical Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2184536

Chris Park Do PC Dba Park Medical Clinic · Pontotoc, MS

Active · expires May 20, 2028

CLIA Number25D2184536

Laboratory TypePhysician Office

Certificate Effective DateMay 21, 2026

Certificate Expiration DateMay 20, 2028

Laboratory DirectorDr. Christopher L. Park

Laboratory Phone(662) 499-2802

Laboratory LocationChris Park Do PC Dba Park Medical Clinic47 S Main Street, Pontotoc, MS 38863

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

CHRISTOPHER LANE PARK DO

Family Medicine

47 S MAIN ST
PONTOTOC, MS 38863

Pontotoc County (662) 499-2802

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 Chris Park Do PC's NPI number?

The NPI number for Chris Park Do PC is 1831710623. It was assigned to this organization in the NPPES registry on May 3, 2020. The provider is doing business as Park Medical Clinic.

Where is Chris Park Do PC located?

Chris Park Do PC is located at 47 S Main St, Pontotoc, MS 38863. The listed phone number is (662) 499-2802.

What is Chris Park Do PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Chris Park Do PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2184536) is associated with this NPI, valid through May 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Chris Park Do PC accept?

Health plans from Molina Healthcare list Chris Park Do PC 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 Chris Park Do PC was last updated on February 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.