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

Xenophon Mucciarone, DO

Individual provider Emergency Medicine Physician · NPI 1801216007

Xenophon Mucciarone, DO is an Emergency Medicine in Valdosta, Georgia. Graduated from West Virginia School of Osteopathic Medicine in 2014, 12 years ago. Practices with Community Medical Associates Inc, a 1,365-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan and Texas.

Years since qualifying
12
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
MI, TX
In the registry since
2014
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

300 N Patterson St
Valdosta, GA 31601-5519
Phone: (229) 433-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2501 N Patterson St, Valdosta, GA 31602-1735 — (229) 433-1000
  • 50 N Perry St, Pontiac, MI 48342-2217 — (248) 338-5392

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5101021037 (MI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence R9113 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1801216007
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 26, 2014
Last updated in NPPESAugust 19, 2020
Certification dateAugust 19, 2020
Mailing address3925 N Oak Street Ext Apt 309, Valdosta, GA 31605-7618

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2014 (12 years in practice)
Group practice Community Medical Associates Inc — 1365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Valdosta