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

Mr. Christopher Whitaker, PA-C

Individual provider Physician Assistant · NPI 1205371176

Mr. Christopher Whitaker, PA-C is a Physician Assistant in Fort Moore, Georgia. Qualified in 2016, 10 years ago. Practices with The Longstreet Clinic, PC, a 142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Tennessee.

Years since qualifying
10
Licensed in
GA, TN
In the registry since
2016
Specialties on file
3
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

6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Phone: (762) 408-0374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 — (678) 207-4373

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 8579 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 8579 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 1138829 (TN)

Record details

NPI number1205371176
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 30, 2016
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice The Longstreet Clinic, Pc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Moore