Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexander Park

Individual provider Physician Assistant · NPI 1972470805

Alexander Park is a Physician Assistant in Nashville, Tennessee. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2025
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Practice location Address checks out

415 Wilsonia Ave
Nashville, TN 37205-1338
Phone: (707) 815-5040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (TN)

Record details

NPI number1972470805
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 23, 2025
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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