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

Individual provider Nephrology Physician · NPI 1861713471

Jun-Ki Park, MD is a Nephrology in Stockbridge, Georgia. Qualified in 2005, 21 years ago. Practices with Caritas Medical Center, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
21
Licensed in
NJ
In the registry since
2010
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

105 N Park Trl Ste 300
Stockbridge, GA 30281-7432
Phone: (678) 284-0800
Fax: (678) 284-9299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 25MA09080700 (NJ)

Record details

NPI number1861713471
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2010
Last updated in NPPESMarch 24, 2015
Mailing address105 N Park Trl, Ste. 300, Stockbridge, GA 30281-7432

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Caritas Medical Center — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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