Individual provider Active NPI

Lyudmila Borisovna Schultz, ARNP

  • Nurse Practitioner
  • Lagrange, GA
National Provider Identifier
1376910547
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9317791 Issued in FL
Practice address
1075 Lafayette Pkwy Ste 100
Lagrange, GA 30241-3507
Phone
(706) 443-5273
NPI assigned
Aug 24, 2015
Last updated
Oct 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X GAA-NP001728 GA
Nurse Practitioner 363L00000X APRN9317791 FL Primary
Adult Health Nurse Practitioner 363LA2200X APRN9317791 FL

Addresses

Primary practice location

1075 Lafayette Pkwy Ste 100
Lagrange, GA 30241-3507

Mailing address

1075 Lafayette Pkwy Ste 100
Lagrange, GA 30241-3507
Phone (706) 443-5273

Other identifiers 1

IdentifierTypeStateIssuer
101901200MedicaidFL

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
I20250123003066 GA Practitioner - Nurse Practitioner 0345550687 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
GAA-NP001728GAMDNurse Practitioner
APRN9317791FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aga, LLC CurrentSince Jan 8, 2025 Accepting new patients
American Gastroenterology and Hepatology Consultants PA PastSince Jan 21, 2019 Accepting new patients

Locations

218 Hospital Dr
#C
Blairsville, GA 30512
Phone (706) 400-5668

1260 Highway 54 W
Ste 103
Fayetteville, GA 30214
Phone (770) 486-7000

2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165

488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075

1200 Lower Fayetteville Rd
#B
Newnan, GA 30265
Phone (678) 631-4610

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

Interoperability endpoints

  • Direct secure messaging: lyudmila.schultz.1@5888.direct.athenahealth.com

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, 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": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760227200000",
    "number": "1376910547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 LAFAYETTE PKWY STE 100",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302413507",
            "telephone_number": "706-443-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 LAFAYETTE PKWY STE 100",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302413507",
            "telephone_number": "706-443-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "LYUDMILA",
        "middle_name": "BORISOVNA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "GAA-NP001728",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9317791",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9317791",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101901200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.