CAROLYN J. PARK MD – NPI #1174917017
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

CAROLYN PARK is a physician located in CHARLOTTE, NC. NPPES has assigned the NPI number 1174917017 to CAROLYN PARK on March 27, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 4 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was last updated on Jul 17, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAROLYN PARK below.

NPI Profile for
CAROLYN J. PARK

NPI Number
1174917017
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
CAROLYN J. PARK
Credentials
MD
Primary location
1237 HARDING PL
STE 3100
CHARLOTTE, NC 28204
Phone: (704) 373-0212 Fax:
4 Other location(s):
10650 Park Rd
Charlotte, NC 28210-8538
Phone: (704) 667-3840
10660 Park Rd
Ste 3400
Charlotte, NC 28210-8413
Phone: (704) 667-1540
1237 Harding Pl
Ste 4200
Charlotte, NC 28204
Phone: (704) 373-0212
100 Medical Park Dr
Ste 210
Concord, NC 28025-2948
Phone: (704) 403-6100
Mailing address
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Mar 18, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 NC 2018-00986
207R00000X
- Internal Medicine		 NC 2018-00986

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
Y
Endpoint Location
1237 HARDING PL,
CHARLOTTE, NC 77025-1669

Additional Information

Education
DREXEL UNIVERSITY COLLEGE OF MEDICINE - Graduated 2015
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
CAROLYN PARK is affiliated with the following medical group(s):
  • HOSPITAL
    • NORTH CAROLINA BAPTIST HOSPITAL
      MEDICAL CENTER BOULEVARD
      WINSTON-SALEM, NC 27157
    • NOVANT HEALTH FORSYTH MEDICAL CENTER
      3333 SILAS CREEK PARKWAY
      WINSTON-SALEM, NC 27103

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.