P Praxis·MD
● Active Type 1 · Individual

Xenophon Mucciarone, D.O.

Emergency Medicine·Valdosta, GA· NPI 1801216007 · Enumerated 2014 · 12 years on NPI
Mucciarone is 1 of 28 emergency medicine providers in Valdosta and 1 of 1991 in Georgia.
NPI age
12 years
Enumerated 2014-04-26
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
📞 2294331000
Mailing address
3925 N Oak Street Ext Apt 309
Valdosta, GA 316057618
📞 2294431000

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
50 N Perry St
Pontiac, MI 483422217
📞 2483385392
Location 3
2501 N Patterson St
Valdosta, GA 316021735
📞 2294331000

Specialties

  • Emergency Medicine Primary
    An 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....
    MI license #5101021037TX license #R9113 taxonomy 207P00000X
  • Student in an Organized Health Care Education/Training Program
    An 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.
    taxonomy 390200000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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