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

Christopher Lane Park, DO

Individual provider Family Medicine Physician · NPI 1710181078

Christopher Lane Park, DO is a Family Practice in Pontotoc, Mississippi. Qualified in 2005, 21 years ago. Practices with Chris Park DO PC, a 2-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
21
Licensed in
MS
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

47 S Main St
Pontotoc, MS 38863-2823
Phone: (662) 499-2802
Fax: (866) 939-1560
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Cvs Dr, Woonsocket, RI 02895-6146 — (866) 389-2727

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 19482 (MS)

Record details

NPI number1710181078
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 12, 2007
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing addressPo Box 507, Pontotoc, MS 38863-0507

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Chris Park Do Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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