OrganizationActive
Whitwell Medical Plaza
NPI 1225409147 · Primary Care Clinic/Center · Whitwell, TN
Provider details
- NPI number
- 1225409147
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jung Park, Md-Owner(423) 658-9200
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13851 Highway 28
Whitwell, TN 37397-5373
Phone: (423) 658-9200
Fax: (423) 658-2195
Street-level locationGet directions
Mailing address
13851 Highway 28 Po Box 400
Whitwell, TN 37397-5373
Other names (DBA / former)
- Doing business as
- Jung Tae Park
Registry dates
- Enumerated
- 2015-10-19
- Last updated
- 2017-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.