Active NPI 1710326459 Individual Practitioner Male Practitioner

Michael Brian Witherspoon , PA

Physician Assistant • Fayetteville, GA

Professional Overview & Biography Verified Profile Summary

Michael Witherspoon, PA is a registered healthcare professional specializing in Physician Assistant in Fayetteville, GA. Practice services are available at 1255 HWY 54 W under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1255 Hwy 54 W

Fayetteville, GA 30214

Telephone 7707935000

Associated Practice Facility / Clinic

🏢 Pediatrix Medical Group Of Georgia, P.c. Facility NPI 1144172545

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fayetteville, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.2 Yrs

State Avg: 12.9 Yrs

Regional Practice Density

58 Specialists

Practicing in Fayetteville, GA (4726 Statewide)

Telehealth Adoption Rate

6.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

93.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	26	26	$1487.00	$101.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	66	63	$1416.00	$100.99
99285 Emergency department visit for life threatening or functioning severity	11	11	$2089.00	$146.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	23	23	$720.39	$60.52
99284 Emergency department visit with moderate level of medical decision making	18	18	$1335.83	$101.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$89.00	$48.50
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	11	$41.00	$19.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	33	32	$645.00	$62.20
99284 Emergency department visit with moderate level of medical decision making	13	13	$935.00	$105.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	48	40	$645.00	$56.86
99284 Emergency department visit with moderate level of medical decision making	24	22	$935.00	$104.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	59	56	$580.93	$53.27
99284 Emergency department visit with moderate level of medical decision making	36	34	$854.44	$100.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	70	64	$505.00	$53.03
99284 Emergency department visit with moderate level of medical decision making	35	32	$790.00	$100.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	61	59	$591.56	$52.14
99284 Emergency department visit with moderate level of medical decision making	48	48	$931.83	$98.67

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 6837

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Jillian Blalock , DO

Emergency Medicine

NPI 1003377466

Doctor of Osteopathic Medicine (D.O.)

Dr. Jamin Graham , MD

Student in an Organized Health Care Education/Training Program

NPI 1003378092

Doctor of Medicine (M.D.)

Julia Kendrick

Registered Nurse

NPI 1003738261

Dr. Haley Lawhorn , MD

Student in an Organized Health Care Education/Training Program

NPI 1003758939

Doctor of Medicine (M.D.)

Britney Beckett

Student in an Organized Health Care Education/Training Program

NPI 1013499185

Rushay Amarath-Madav

Student in an Organized Health Care Education/Training Program

NPI 1013611334

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 24, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 24, 2015

Registered at 1255 HWY 54 W, FAYETTEVILLE, GA 30214 (Tel: 7707935000)

📍

Updated Business Mailing Address September 24, 2015

Registered at 18167 US HWY. 19 N #650, CLEARWATER, FL 33764

👤

Provider Name / Credentials Updated September 24, 2015

Recorded as MICHAEL WITHERSPOON, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2015

Physician Assistant (License #6837 in GA)

🟢

Initial NPI Registration & Enumeration June 16, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710326459

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 16, 2013

Last Update: September 24, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

18167 Us Hwy. 19 N #650

Clearwater, FL 33764

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.