Chris Park DO PC
NPI 1831710623 · Family Medicine Physician · Pontotoc, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Chris Park DO PC is a Family Medicine Physician organization in Pontotoc, MS (NPI 1831710623).
Provider details
- NPI number
- 1831710623
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Park, Owner/Physician(662) 397-4597
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Other names (DBA / former)
- Doing business as
- Park Medical Clinic
- Doing business as
- Park Medical Clinic
Registry dates
- Enumerated
- 2020-05-03
- Last updated
- 2024-02-18
- Certified
- 2024-02-18
Frequently asked questions
- What is Chris Park DO PC's NPI number?
- Chris Park DO PC's National Provider Identifier (NPI) is 1831710623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chris Park DO PC?
- Chris Park DO PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Chris Park DO PC located?
- Chris Park DO PC's practice location on file with NPPES is 47 S Main St, Pontotoc, MS 38863-2823.
- What is Chris Park DO PC's phone number?
- The practice phone number listed in the NPPES registry for Chris Park DO PC is (662) 499-2802.
- Does Chris Park DO PC accept Medicare?
- Chris Park DO PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Chris Park DO PC?
- The authorized official listed on Chris Park DO PC's NPPES record is Christopher Park, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chris Park DO PC's NPI active?
- Yes — Chris Park DO PC's NPI (1831710623) is active in the NPPES registry as of the last update on 2024-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.