NPI age
12 years
Enumerated 2014-04-26
● Active
Type 1 · Individual
Xenophon Mucciarone, D.O.
Mucciarone is 1 of 28 emergency medicine providers in Valdosta and 1 of 1991 in Georgia.
Primary specialty
Emergency Medicine
Plus 2 subspecialties
Licensed in
MI, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-08-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1991 active emergency medicine providers in Georgia.
NPI age
12 years
↓ 5 yr below median (17 yr)
State licenses
2 states
Top 79% — 20% of peers are multi-state
Subspecialties
1
In the 41% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-04Enumerated in NPPES
2014
2026
Where they practice
Practice location
300 N Patterson St
Valdosta, GA 316015519
Mailing address
3925 N Oak Street Ext Apt 309
Valdosta, GA 316057618
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
50 N Perry St
Pontiac, MI 483422217
Location 3
2501 N Patterson St
Valdosta, GA 316021735
Specialties
-
Emergency Medicine PrimaryAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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