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Patrice Chishom, MD
NPI 1366441032 · Pediatrics Physician · Clarkston, GA
Patrice Chishom, MD is a Pediatrics Physician provider in Clarkston, GA (NPI 1366441032).
Provider details
- NPI number
- 1366441032
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 045185 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4112 E Ponce De Leon Ave
Clarkston, GA 30021-8106
Phone: (404) 289-7133
Fax: (404) 289-7211
Street-level locationGet directions
Mailing address
4112 E Ponce De Leon Ave
Clarkston, GA 30021-8106
Registry dates
- Enumerated
- 2005-07-15
- Last updated
- 2022-03-20
- Certified
- 2022-03-20
Frequently asked questions
- What is Patrice Chishom's NPI number?
- Patrice Chishom's National Provider Identifier (NPI) is 1366441032, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Patrice Chishom's specialty?
- Patrice Chishom is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Patrice Chishom located?
- Patrice Chishom's practice location on file with NPPES is 4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106.
- What is Patrice Chishom's phone number?
- The practice phone number listed in the NPPES registry for Patrice Chishom is (404) 289-7133.
- Is Patrice Chishom's NPI active?
- Yes — Patrice Chishom's NPI (1366441032) is active in the NPPES registry as of the last update on 2022-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.