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

Carolyn Jean Park, MD

Individual provider Internal Medicine Physician · NPI 1174917017

Carolyn Jean Park, MD is a Cardiovascular Disease (Cardiology) in Charlotte, North Carolina. Graduated from Drexel University College of Medicine in 2015, 11 years ago. Practices with Catawba Valley Medical Group Inc, a 134-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
11
Trained at
Drexel University College of Medicine
Licensed in
NC
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1237 Harding Pl Ste 3100
Charlotte, NC 28204
Phone: (704) 373-0212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1237 Harding Pl, Charlotte, NC 28204 — (704) 373-0212
  • 10650 Park Rd, Charlotte, NC 28210-8538 — (704) 667-3840
  • 10660 Park Rd, Charlotte, NC 28210-8413 — (704) 667-1540
  • 100 Medical Park Dr, Concord, NC 28025-2948 — (704) 403-6100

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 2018-00986 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2018-00986 (NC)

Record details

NPI number1174917017
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2015
Last updated in NPPESJuly 17, 2024
Certification dateMarch 18, 2022

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesHOSPITALIST
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Catawba Valley Medical Group Inc — 134 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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