Patrice Gibson Chishom, MD
Pediatrics Physician · Clarkston, GA
Patrice Gibson Chishom, MD is a pediatrics physician with a practice address in Clarkston, Georgia, and NPI 1366441032, issued on Jul 15, 2005. Check the license (Georgia 045185, as entered in NPPES) on the Georgia Composite Medical Board; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Patrice Gibson Chishom
- Credential
- MD
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 045185 GA
Self-reported in NPPES; status is on the state search - Practice location
- 4112 E Ponce DE Leon Ave, Clarkston, GA 30021
- Phone
- (404) 289-7133
- Enumerated
- Jul 15, 2005
- Record last updated
- Mar 20, 2022
- Fax
- (404) 289-7211
- Entity
- Type 1 · individual
Also registered at 4112 E Ponce DE Leon Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Thanmayie BethiFamily Nurse Practitioner1962038307
- Emily Curia, NPPediatric Nurse Practitioner1003402587
- Tracy Ferguson, M.D.Pediatrics Physician1922063734
- Stephanie Henry, MDPediatrics Physician1285621037
- Kimberly Humphrey Browne, M.D.Pediatrics Physician1275549388
- Keanna Joseph-Clarke, MDPediatrics Physician1962579631
Verify Patrice Gibson Chishom in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 045185Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
8 pediatrics physician records list a practice address in Clarkston
They are 8 of the 96 NPPES records with a practice address in Clarkston, and 2,258 pediatrics physician records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 8 in Clarkston → All 2,258 in Georgia → Every provider in Clarkston →
Other pediatrics physician records in Georgia
- Anastacia Abdalla, MDAtlanta, GA1114287190
- Da'Ad AbdallaAugusta, GA1841166451
- Nader Abdel Razek, MDAugusta, GA1568395226
- Abeer Abdeldayem, M.D.Dalton, GA1427308097
- Richard Abel, M.D.Atlanta, GA1437157492
- Josefina Abendan Dubberly, M.D.Baxley, GA1124196928
- Youmna Abourady, MDAugusta, GA1144146960
- Mary Abraham, MDDecatur, GA1285644526
- Anna Abrigo, M.D.Warner Robins, GA1306844881
- Jose Acevedo, M.D.Augusta, GA1356327027
Common questions
What is Patrice Gibson Chishom, MD's NPI number?
Patrice Gibson Chishom, MD's National Provider Identifier (NPI) is 1366441032, issued on Jul 15, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Patrice Gibson Chishom, MD located?
The NPPES record lists a practice address at 4112 E Ponce DE Leon Ave, Clarkston, GA, 30021. Phone: (404) 289-7133. Providers update this record themselves, so call before visiting.
How can I verify Patrice Gibson Chishom, MD's license?
NPPES lists Georgia license number 045185, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.