Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles M Wispert, PA-C

Individual provider Physician Assistant · NPI 1932210648

Charles M Wispert, PA-C is a Physician Assistant in Augusta, Georgia. Graduated from Medical College of Georgia School of Medicine in 1984, 42 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
42
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1120 15th St
Augusta, GA 30912-0004
Phone: (706) 721-4951
Fax: (706) 721-7941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 002166 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 002166 (GA)

Record details

NPI number1932210648
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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