DR. NATHANIEL CHISHINGA (MD) – Internal Medicine Physician, NPI 1376129304

DR. NATHANIEL CHISHINGA (MD) is a healthcare provider. based in Athens, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 104031 (GA). The NPI Number for DR. NATHANIEL CHISHINGA (MD) is 1376129304

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. NATHANIEL CHISHINGA (MD)
NPI
1376129304
Phone
(706) 475-7055
Address
1270 PRINCE AVE STE 201
Enumeration Date
21 March 2021
Last Update Date
16 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6789571910
Graduation Year
2002 (24 years ago)
PAC ID
5890193387
Group Practice PAC ID
3577552116
Professional Enrollment ID
I20250929000427
Address ID
GA300241059SU4365XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for DR. NATHANIEL CHISHINGA (MD)

  • 1270 PRINCE AVE STE 201

    ATHENS, GA 306062789

    Phone: (706) 475-7055

    Type: Location

  • 1199 PRINCE AVE # 70

    ATHENS, GA 306062797

    Phone:

    Type: Mailing

  • 1270 Prince Ave Ste 201

    Athens, GA 306062789

    Phone: (706) 475-7055

    Type: Location

  • 1266 HIGHWAY 515 S

    JASPER, GA 301434872

    Phone: (404) 367-3014

    Type: Location

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: 2025-09-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250929000427IInternal MedicineGATBD

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.

Verify on CMS Revalidation Lookup Tool

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 30606)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577552116View full group profile
NameSpecialtyState
Internal MedicineNY
Internal MedicineGA
Nurse PractitionerGA
Internal MedicineGA
-GA

Reviews

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Frequently asked questions

Does DR. NATHANIEL CHISHINGA (MD) have a public NPI I can cite?
Public records show DR. NATHANIEL CHISHINGA (MD) under NPI 1376129304.
Is DR. NATHANIEL CHISHINGA (MD)'s NPI status active today?
Active status means DR. NATHANIEL CHISHINGA (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. NATHANIEL CHISHINGA (MD)?
NPPES ties DR. NATHANIEL CHISHINGA (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. NATHANIEL CHISHINGA (MD) tied to Athens, Georgia?
If you are local to Athens, Georgia, DR. NATHANIEL CHISHINGA (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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