NPI age
12 years
Enumerated 2014-06-03
● Active
Type 1 · Individual
Chaeli Wisenbaker, PA-C
Wisenbaker is 1 of 3 medical (physician assistant) providers in Valdosta and 1 of 1,322 in Georgia.
Primary specialty
Medical (Physician Assistant)
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-05-20
Source: CMS NPPES provider record
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1322 active medical (physician assistant) providers in Georgia.
NPI age
12 years
↓ 3 yr below median (15 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2014 → 2016
2014-06Enumerated in NPPES
2014
2016
Where they practice
Practice location
2412 N Oak St
Valdosta, GA 316022567
Mailing address
3832 Dane Ln
Valdosta, GA 31601
Specialties
-
Physician Assistant PrimaryCMS NPPES uses NUCC taxonomy code 363AM0700X for provider records classified as Medical within Physician Assistant. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 7207 | GEORGIA LICENSE |
Practice context
Part of a multi-provider practice. 49 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.