CHAELI WISENBAKER PA-C
NPI 1003229568
Physician Assistant - Medical in Valdosta, GA

Active since June 03, 2014
2412 N OAK ST, VALDOSTA, GA 31602(229) 244-1400(229) 244-5512 Get Directions Write a Review

NPPES record last updated: May 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chaeli Wisenbaker Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAELI WISENBAKER PA-C (NPI 1003229568) is an individual medical provider in Valdosta, Georgia and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1003229568
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCHAELI WISENBAKERCredential: PA-C
Location Address2412 N OAK STValdosta, GA 31602-2567
Mailing Address3832 Dane LnValdosta, GA 31601 · (229) 740-3604
Fax(229) 244-5512
Sole ProprietorYes
Enumeration DateJune 3, 2014
Last NPPES UpdateMay 20, 2016
NPI 1003229568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
2412 N OAK ST, Valdosta, GA 31602

Other Names 1

Former Name (1)Chaeli Nelson

Other Identifiers 1

Other7207GA · Georgia License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2412 N OAK ST
VALDOSTA, GA 31602
Physician Assistant
2412 N OAK ST
VALDOSTA, GA 31602
Physician Assistant
2412 N OAK ST
VALDOSTA, GA 31602
Family Medicine
2412 N OAK ST
VALDOSTA, GA 31602
Nurse Practitioner (Family)
2412 N OAK ST
VALDOSTA, GA 31602
Nurse Practitioner (Family)
2412 N OAK ST
VALDOSTA, GA 31602
Family Medicine
2412 N OAK ST
VALDOSTA, GA 31602
Nurse Practitioner (Family)
2412 N OAK ST
VALDOSTA, GA 31602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chaeli Wisenbaker's NPI number?

The NPI number for Chaeli Wisenbaker is 1003229568. It was assigned to this individual provider in the NPPES registry on June 3, 2014. The provider is also known as Chaeli Nelson.

Where is Chaeli Wisenbaker located?

Chaeli Wisenbaker practices at 2412 N Oak St, Valdosta, GA 31602. The listed phone number is (229) 244-1400.

What is Chaeli Wisenbaker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Chaeli Wisenbaker was last updated on May 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.