Mr Christopher Whitaker, PA-C is a medicare enrolled "Physician Assistant - Medical" in Cleveland, Georgia. He graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice The Longstreet Clinic, Pc, Northeast Georgia Community Physicians Llc and his current practice location is
142 Parkway Plz, Cleveland, Georgia. You can reach out to his office (for appointments etc.) via phone at
(412) 735-6421.
Mr Christopher Whitaker is licensed to practice in Georgia (license number 8579) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205371176.
Provider's Profile
| Full Name | Mr Christopher Whitaker |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 10 Years |
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| Location | 142 Parkway Plz, Cleveland, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Christopher Whitaker graduated from nursing school in 2016
NPI Data:
- NPI Number: 1205371176
- Provider Enumeration Date: 12/30/2016
- Last Update Date: 09/24/2026
Medicare PECOS Information:
- PECOS PAC ID: 7113441106
- Enrollment ID: I20250411001272
Medical Identifiers
Medical identifiers for Mr Christopher Whitaker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205371176 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 1138829 (Tennessee) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 8579 (Georgia) | Primary |
| 363A00000X | Physician Assistant | 8579 (Georgia) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Longstreet Clinic, Pc | 2668465733 | 140 |
| Northeast Georgia Community Physicians Llc | 3274010582 | 129 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Christopher Whitaker allows following entities to bill medicare on his behalf.
| Entity Name | The Longstreet Clinic, PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326019977
PECOS PAC ID: 2668465733
Enrollment ID: O20040405001521 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Christopher Whitaker is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mr Christopher Whitaker, PA-C
6600 Van Aalst Blvd Bldg 9250,
Fort Moore, GA 31905-2102
Ph: Not Available | Mr Christopher Whitaker, PA-C
142 Parkway Plz,
Cleveland, GA 30528-6271
Ph: (412) 735-6421 |
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