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MR. MICHAEL STEPHEN CHAMMOUN PA
NPI 1962404541
Physician Assistant in Valdosta, GA

Active since August 12, 2005
2310 N PATTERSON ST, BLDG D, VALDOSTA, GA 31602(229) 247-2482(229) 247-0827 Get Directions Write a Review

NPPES record last updated: March 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Michael Stephen Chammoun Pa NPPES

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

MR. MICHAEL STEPHEN CHAMMOUN PA (NPI 1962404541) is an individual physician assistant in Valdosta, Georgia, licensed in Georgia (003153) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1962404541
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MICHAEL STEPHEN CHAMMOUNCredential: PA
Location Address2310 N PATTERSON ST, BLDG DValdosta, GA 31602-2568
Mailing Address2310 N Patterson St, Bldg DValdosta, GA 31602-2568 · (229) 247-2482 · Fax (229) 247-0827
Phone(229) 247-2482
Fax(229) 247-0827
Sole ProprietorYes
Enumeration DateAugust 12, 2005
Last NPPES UpdateMarch 25, 2010
✔ NPI 1962404541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 003153
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.
2310 N PATTERSON ST, Valdosta, GA 31602
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Other Identifiers 3

Medicaid100000805AGA
Medicare ID-Type UnspecifiedGRP 108 (97BBFPK)GA
Medicare UPINP01260

Other Providers at the Same Location NPPES 9

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

KELLY DELAYNE JONES LCSW
Social Worker (Clinical)
2310 N PATTERSON ST, SUITE G
VALDOSTA, GA 31602
Lowndes County (229) 244-9688
STEPHANY ANN NORRIS LPC
Counselor (Professional)
2310 N PATTERSON ST, SUITE G
VALDOSTA, GA 31602
Lowndes County (229) 244-9688
SOUTH GEORGIA ORTHOPEDICS, P.C.
Clinic/Center (Medical Specialty)
2310 N PATTERSON ST, BLD. D
VALDOSTA, GA 31602
Lowndes County (229) 247-2482
DR. RAYMOND DERRY CROSBY DO
Orthopaedic Surgery
2310 N PATTERSON ST, BLDG D
VALDOSTA, GA 31602
Lowndes County (229) 247-2482
HUNTER BURTON FLETCHER
Nurse Anesthetist, Certified Registered
2310 N PATTERSON ST
VALDOSTA, GA 31602
Lowndes County (229) 244-6852
JUSTIN MARK BOOTH AA
Anesthesiologist Assistant
2310 N PATTERSON ST, BLDG C
VALDOSTA, GA 31602
Lowndes County (229) 244-6852
SOUTHERN EYE CENTER, PC
Specialist
2310 N PATTERSON ST, SUITE B
VALDOSTA, GA 31602
Lowndes County (229) 247-2020
DUSTIN GOFF CRNA
Nurse Anesthetist, Certified Registered
2310 N PATTERSON ST, SUITE C
VALDOSTA, GA 31602
Lowndes County (229) 244-6852

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 Chammoun's NPI number?

The NPI number for Michael Chammoun is 1962404541. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Michael Chammoun located?

Michael Chammoun practices at 2310 N Patterson St Bldg D, Valdosta, GA 31602. The listed phone number is (229) 247-2482.

What is Michael Chammoun'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 Michael Chammoun was last updated on March 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.