MR. CHRISTOPHER WHITAKER (PA-C) – Medical Physician Assistant, NPI 1205371176
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for MR. CHRISTOPHER WHITAKER (PA-C)
6600 VAN AALST BLVD
FORT MOORE, GA 319052102
Phone: (762) 408-0374
Type: Location
725 Jesse Jewell Pkwy SE
Gainesville, GA 305013834
Phone: (678) 207-4373
Fax: (770) 533-4727
Type: Location
Colonel Florence A Blanchfield Army Community Hospital, 650, Joel Drive, Clarksville, Montgomery County, Tennessee, 42223, United States
FORT CAMPBELL, KY 422235318
Phone: (270) 956-0693
Type: Mailing
6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 319052102
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250411001272 | I | Physician Assistant | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| General Surgery | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| General Practice, Pathology | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA |
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