MILES MALLICOTE PA-C
NPI 1639979461
Physician Assistant in Chattanooga, TN

Active since March 19, 2025
1110 MARKET ST STE 502, CHATTANOOGA, TN 37402(423) 602-9530 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miles Mallicote Pa-c NPPES

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

MILES MALLICOTE PA-C (NPI 1639979461) is an individual physician assistant in Chattanooga, Tennessee and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1639979461
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMILES MALLICOTECredential: PA-C
Location Address1110 MARKET ST STE 502Chattanooga, TN 37402-3310
Mailing Address1110 Market St Ste 502Chattanooga, TN 37402-3310
Sole ProprietorNo
Enumeration DateMarch 19, 2025
NPPES CertifiedMarch 19, 2025
NPI 1639979461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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 trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1110 MARKET ST STE 502, Chattanooga, TN 37402

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner
1110 MARKET ST STE 502
CHATTANOOGA, TN 37402
Physician Assistant (Medical)
1110 MARKET ST STE 502
CHATTANOOGA, TN 37402

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 Miles Mallicote's NPI number?

The NPI number for Miles Mallicote is 1639979461. It was assigned to this individual provider in the NPPES registry on March 19, 2025.

Where is Miles Mallicote located?

Miles Mallicote practices at 1110 Market St Ste 502, Chattanooga, TN 37402. The listed phone number is (423) 602-9530.

What is Miles Mallicote's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Miles Mallicote was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.