NPI age
12 years
Enumerated 2013-06-16
● Active
Type 1 · Individual
MR. Michael Brian Witherspoon, PA
Witherspoon is 1 of 59 physician assistant providers in Fayetteville and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-09-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 4616 active physician assistant providers in Georgia.
NPI age
12 years
↑ 4 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2013 → 2026
2013-06Enumerated in NPPES
2013
2026
Where they practice
Practice location
1255 Hwy 54 W
Fayetteville, GA 30214
Mailing address
18167 Us Hwy. 19 N #650
Clearwater, FL 33764
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 2 new physician assistant providers have been added in Fayetteville in the last 180 days.
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- 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.