Individual provider Active NPI

Jennifer Nicole Schmitz, FNP-C

  • Nurse Practitioner
  • Gray, GA
National Provider Identifier
1245807478
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP222623 Issued in GA
Practice address
1005 Boulder Dr
Gray, GA 31032-6141
Phone
(478) 621-2100
Fax
(478) 744-0481
NPI assigned
Jun 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-NP222623 GA Primary

Addresses

Primary practice location

1005 Boulder Dr
Gray, GA 31032-6141

Mailing address

645 Maynard Church Rd
Forsyth, GA 31029-2456
Phone (478) 808-7657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220325001192 GA Practitioner - Nurse Practitioner 8921493115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middle Georgia Wound Solutions LLCGroup PAC ID 9931557824, 2 clinicians
Community Primary Care of Georgia LLCGroup PAC ID 0648421065, 20 clinicians

Practice addresses (Care Compare)

100 Cattlemens Dr
Macon, GA 31220-8300
Phone (850) 544-5299

1005 Boulder Dr
Gray, GA 31032-6141
Phone (478) 621-2100

Merit-based Incentive Payment System (MIPS)

Final score
91.94 of 100Reported as group
Quality
90.51
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP222623GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Georgia Wound Solutions LLC Nurse Practitioner CurrentSince Oct 15, 2024 Accepting new patients

Locations

100 Cattlemens Dr
Macon, GA 31220
Phone (850) 544-5299

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDJBDD/Endpoint/HDJBDD

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1245807478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 MAYNARD CHURCH RD",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310292456",
            "telephone_number": "478-808-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BOULDER DR",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310326141",
            "telephone_number": "478-621-2100",
            "fax_number": "478-744-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITZ",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP222623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gray, GA

Sources for this page

Verify at the official NPI Registry.