Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miles Mallicote, PA-C

Individual provider Physician Assistant · NPI 1639979461

Miles Mallicote, PA-C is a Physician Assistant in Chattanooga, Tennessee. Registered with an NPI since 2025.

In the registry since
2025
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

1110 Market St Ste 502
Chattanooga, TN 37402-3310
Phone: (423) 602-9530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1639979461
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 19, 2025
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025
Mailing address1110 Market St Ste 502, Chattanooga, TN 37402-3310

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