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

Dr. Sonny Yong Park, MD

Individual provider Family Medicine Physician · NPI 1720071277

Dr. Sonny Yong Park, MD is an Emergency Medicine in Mount Pleasant, South Carolina. Qualified in 2001, 25 years ago. Practices with Jefferson Davis Emergency Group LLC, an 18-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana, Maine, New Jersey and South Carolina and 1 more.

Years since qualifying
25
Licensed in
IN, ME, NJ, SC, WI
In the registry since
2005
Specialties on file
5
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

1988 Kings Gate Ln
Mount Pleasant, SC 29466-8191
Phone: (864) 640-0395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1101 Michigan Ave, Logansport, IN 46947-1528 — (574) 753-7541
  • Po Box 6354004, Cincinnati, OH 45263-5004 — (888) 952-6772

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25559 (SC)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD22311 (ME)
Family Medicine Physician Taxonomy 207Q00000X · Licence 25MA10015400 (NJ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 01078315A (IN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 1987320 (WI)

Record details

NPI number1720071277
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2005
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Jefferson Davis Emergency Group Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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