Active NPI
Zachary Schiffer
- Athletic Trainer
- Moultrie, GA
National Provider Identifier
1356975452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 3131 S Main Street
Moultrie, GA 31768 - Phone
- (229) 985-3430
- NPI assigned
- Feb 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
3131 S Main Street
Moultrie, GA 31768
Mailing address
1120 Honey Prong Rd
Hartsville, TN 37074-3003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1111111111 | Other | TN | BLUE CROSS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1356975452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 HONEY PRONG RD",
"city": "HARTSVILLE",
"state": "TN",
"postal_code": "370743003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 S MAIN STREET",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "31768",
"telephone_number": "229-985-3430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIFFER",
"first_name": "ZACHARY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-27",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1111111111",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "n/a",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1120 Honey Prong Rd",
"city": "Hartsville",
"state": "TN",
"country_code": "US",
"postal_code": "370743003",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Moultrie, GA
- Robert L Sasine, M.D.
- Sean C Sauls, P.A.
- Elizabeth Sayers, PT
- SC-Ga2018 Cobblestone Rehabilitation and Healthcare Center, LLC (Cobblestone Rehabilitation and Healthcare Center)
- Laurie McDaniel Scarrow, AU.D.
- Rebecca Lynn Schmidt
- Laura Ashley Schwalls, NP-C
- Andrea M Scott
- Self Love Helping Hands LLC
- Jeong Sok Seo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.