Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mr. Jung Tae Park, MD

Adult Medicine Physician in Whitwell, TN · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1942291638

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Registry record

Entity type Individual (Type 1)

Name Mr. Jung Tae Park

Credential MD

Sex Male

Practice address Whitwell, TN, 37397

Phone (423) 658-9200

Fax (423) 658-2195

Enumeration date Nov 2, 2005

Last updated in NPPES Dec 14, 2022

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207QA0505X Adult Medicine Physician Allopathic & Osteopathic Physicians · License MD0000010100 (TN) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
2002139	Other	TN	B CARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Jung Park?

Jung Park is registered in NPPES with the primary taxonomy of Adult Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

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Alan Kelley Family Medicine Physician · Whitwell, TN NPI 1558343087 Charlie Fang Family Medicine Physician · Whitwell, TN NPI 1609962521 Brenda Ross MD PC Family Medicine Physician · Whitwell, TN NPI 1083982243 Kimberly Redfearn Family Nurse Practitioner · Whitwell, TN NPI 1356745848 Whitwell Medical Plaza Primary Care Clinic/Center · Whitwell, TN NPI 1225409147 Park Medical Family Medicine Physician · Whitwell, TN NPI 1124737408 Michelle Gulley Family Nurse Practitioner · Whitwell, TN NPI 1245022219 Steven Todd Addiction (Substance Use Disorder) Counselor · Whitwell, TN NPI 1083589188

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-12-14.