1. Home
  2. Directory
  3. Georgia
  4. Woodstock
  5. Physician Assistant
  6. NPI Profile

MR. MICHAEL WILEY MITCHELL CST,CFA,CSA
NPI 1063403541
Physician Assistant - Surgical in Woodstock, GA

Active since November 02, 2005
2521 E CHEROKEE DR, WOODSTOCK, GA 30188(770) 704-9730 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 14, 2022, Sep 10, 2018 (2 updates tracked since 2018).

About Mr. Michael Wiley Mitchell Cst,cfa,csa NPPES

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

MR. MICHAEL WILEY MITCHELL CST,CFA,CSA (NPI 1063403541) is an individual surgical provider in Woodstock, Georgia and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1063403541
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. MICHAEL WILEY MITCHELLCredential: CST,CFA,CSA
Location Address2521 E CHEROKEE DRWoodstock, GA 30188-2015
Mailing Address2521 E Cherokee DrWoodstock, GA 30188-2015 · (770) 704-9730
Phone(770) 704-9730
Sole ProprietorYes
Enumeration DateNovember 2, 2005
Last NPPES UpdateJanuary 14, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2022
✔ NPI 1063403541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
2521 E CHEROKEE DR, Woodstock, GA 30188
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

FIRSTHAND ASSOCIATES LLC
Physician Assistant (Surgical)
2521 E CHEROKEE DR
WOODSTOCK, GA 30188
Cherokee County (404) 790-0879

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 Michael Mitchell's NPI number?

The NPI number for Michael Mitchell is 1063403541. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Michael Mitchell located?

Michael Mitchell practices at 2521 E Cherokee Dr, Woodstock, GA 30188. The listed phone number is (770) 704-9730.

What is Michael Mitchell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Michael Mitchell was last updated on January 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.