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

MS. Michelle Lee Dupont, PA-C

Individual provider Physician Assistant · NPI 1104852078

MS. Michelle Lee Dupont, PA-C is a Physician Assistant in Fayetteville, Georgia. Qualified in 1994, 32 years ago. Practices with South Atlanta Ear Nose and Throat PC, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
32
Licensed in
GA
In the registry since
2006
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

101 Yorktown Dr Ste 203
Fayetteville, GA 30214-1578
Phone: (770) 474-7416
Fax: (706) 920-7617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1101 Hospital Dr Ste 100a, Stockbridge, GA 30281-9076 — (770) 474-7416

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 003062 (GA)

Record details

NPI number1104852078
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice South Atlanta Ear Nose And Throat Pc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fayetteville