Individual provider Active NPI

Lauren Schultz, PA-C

  • Physician Assistant
  • Jackson, TN
National Provider Identifier
1093255325
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0000004433 Issued in TN
Practice address
150 Murray Guard Dr
Jackson, TN 38305-3609
Phone
(731) 201-2798
NPI assigned
Mar 6, 2017
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA0000004433 TN Primary

Addresses

Primary practice location

150 Murray Guard Dr
Jackson, TN 38305-3609

Mailing address

150 Murray Guard Dr
Jackson, TN 38305-3609
Phone (731) 201-2798

Other practice location 1

6216 Highland Place Way Ste 102
Knoxville, TN 37919-4068
Phone (865) 470-6121

Other identifiers 1

IdentifierTypeStateIssuer
220674795MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TN2 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
I20170802002514 AR Practitioner - Physician Assistant 3870864333 Reassigns benefits to 2 organizations
I20211020001191 TN Practitioner - Physician Assistant 3870864333 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Integrated Wound Care Tennessee PLLCGroup PAC ID 8527394477, 19 clinicians

Practice addresses (Care Compare)

141 N McLean Blvd
Memphis, TN 38104-2693
Phone (201) 870-1194

610 S Avalon St
West Memphis, AR 72301-4109
Phone (718) 963-3495

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4433TNMDSpeech-Language Pathologist
PA0000004433TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
J.P. Wornock M.D. P.a. CurrentSince Jun 11, 2017 Accepting new patients

Locations

812 Oak St
Conway, AR 72032
Phone (501) 327-7100

400 S Main St
Ste 100
Searcy, AR 72143
Phone (501) 279-9000

Organizations & group practices 6

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": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1093255325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MURRAY GUARD DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053609",
            "telephone_number": "731-201-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MURRAY GUARD DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053609",
            "telephone_number": "731-201-2798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6216 Highland Place Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379194068",
            "country_code": "US",
            "telephone_number": "865-470-6121",
            "fax_number": "866-549-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA0000004433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220674795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.