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

Mr. Michael Wiley Mitchell, CST, CFA, CSA

Individual provider Surgical Physician Assistant · NPI 1063403541

Mr. Michael Wiley Mitchell, CST, CFA, CSA is a Surgical Physician Assistant in Woodstock, Georgia. Practices as a sole proprietor. Registered with an NPI since 2005.

In the registry since
2005

Practice location Address checks out

2521 E Cherokee Dr
Woodstock, GA 30188-2015
Phone: (770) 704-9730
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1063403541
Entity typeIndividual (Type 1)
GenderMale
Credentials CST , CFA , CSA
Sole proprietorYes
NPI enumeratedNovember 2, 2005
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022
Mailing address2521 E Cherokee Dr, Woodstock, GA 30188-2015

Other providers in Woodstock