Courtney Schnorr, PA

Key facts

NPI

1255199022

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

Practice address

1209 Fifteen Mile Landing Rd
Awendaw, SC 29429-5915

Phone

(843) 754-8843

NPI assigned

Mar 7, 2024

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Derrington Dermatology, PA Dermatology Physician · Summerville, SC · NPI 1730987389
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 7, 2024.

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1255199022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 FIFTEEN MILE LANDING RD",
            "city": "AWENDAW",
            "state": "SC",
            "postal_code": "294295915",
            "telephone_number": "843-754-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 FIFTEEN MILE LANDING RD",
            "city": "AWENDAW",
            "state": "SC",
            "postal_code": "294295915",
            "telephone_number": "843-754-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNORR",
        "first_name": "COURTNEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Awendaw, SC · Physician Assistant in South Carolina