P Praxis·MD
● Active Type 1 · Individual

Charles M Wispert, PA-C

Physician Assistant·Augusta, GA· NPI 1932210648 · Enumerated 2006 · 19 years on NPI
Wispert is 1 of 35 physician assistant providers in Augusta and 1 of 640 in Georgia.
NPI age
19 years
Enumerated 2006-08-31
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-01-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 640 active physician assistant providers in Georgia.

NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
1120 15th St
Augusta, GA 309120004
📞 7067214951fax 7067217941
Mailing address
1120 15th St # Or6000
Augusta, GA 309120004
📞 7067213813

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #002166 taxonomy 363AS0400X
  • Physician Assistant
    A 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...
    GA license #002166 taxonomy 363A00000X

Identifiers

TypeValueNotes
05 (SC) 0084PA
05 (GA) 682230399A

Practice context

Part of a multi-provider practice. 1593 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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