Individual provider Active NPI

Frederick Kenneth Schmidt, PA C

  • Physician Assistant
  • Beaufort, SC
National Provider Identifier
1366421380
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
NCCPA 102628
Practice address
1 Pinckney Blvd Naval Hospital Beaufort
Attn Professional Affairs Coordinator
Beaufort, SC 29902-6148
Phone
(843) 228-5577
Fax
(843) 228-5196
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NCCPA 102628 Primary

Addresses

Primary practice location

1 Pinckney Blvd Naval Hospital Beaufort
Attn Professional Affairs Coordinator
Beaufort, SC 29902-6148

Mailing address

PO Box 6216a Attn Professional Affairs Coordinator
1 Pinckney Blvd Naval Hospital Beaufort
Beaufort, SC 29902-6148
Phone (843) 228-5577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20151214000977 SC Order and Referring Only - Physician Assistant 2466753603

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366421380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6216A ATTN PROFESSIONAL AFFAIRS COORDINATOR",
            "address_2": "1 PINCKNEY BLVD NAVAL HOSPITAL BEAUFORT",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026148",
            "telephone_number": "843-228-5577",
            "fax_number": "843-228-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PINCKNEY BLVD NAVAL HOSPITAL BEAUFORT",
            "address_2": "ATTN PROFESSIONAL AFFAIRS COORDINATOR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026148",
            "telephone_number": "843-228-5577",
            "fax_number": "843-228-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "FREDERICK",
        "middle_name": "KENNETH",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2026-07-13",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "NCCPA 102628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.