Individual provider Active NPI

Zoe Renew Schultz, PA-C

  • Medical Physician Assistant
  • Evans, GA
National Provider Identifier
1093140659
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
4321 University Pkwy Ste 104
Evans, GA 30809-3093
Phone
(706) 854-2198
NPI assigned
Sep 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

4321 University Pkwy Ste 104
Evans, GA 30809-3093

Mailing address

PO Box 2510
Evans, GA 30809-2510
Phone (706) 922-8251

Other practice location 1

1701 Magnolia Way Ste 101
Augusta, GA 30909-9484
Phone (706) 922-8251

Other identifiers 2

IdentifierTypeStateIssuer
7003OtherGALICENSE
1093140659OtherGANPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zoeshultz@cpcfp.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140314001937 GA Practitioner - Physician Assistant 0345471371 Reassigns benefits to 1 organization
I20150924000939 SC Practitioner - Physician Assistant 0345471371 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2360SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Improvement Project, Inc Current Accepting new patients
Neighborhood Improvement Project Inc CurrentSince Jul 1, 2024 Accepting new patients
Neighborhood Improvement Project Inc CurrentSince Jul 1, 2024 Accepting new patients
Au Medical Associates Inc Past Accepting new patients
Neighborhood Improvement Project, Inc. Past Accepting new patients

Locations

2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682

4321 University Pkwy
Ste 104
Evans, GA 30809
Phone (706) 854-2198

Interoperability endpoints

  • Direct secure messaging: zoe.schultz@mapbt.eclinicaldirectplus.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1093140659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2510",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308092510",
            "telephone_number": "706-922-8251",
            "fax_number": "706-922-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 UNIVERSITY PKWY STE 104",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093093",
            "telephone_number": "706-854-2198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Magnolia Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309099484",
            "country_code": "US",
            "telephone_number": "706-922-8251",
            "fax_number": "706-922-6695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "ZOE",
        "middle_name": "RENEW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "7003",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093140659",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zoeshultz@cpcfp.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 Magnolia Way Ste 101",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309099484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.