Theresa Ann Schornack, NURSE PRACTITIONER

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN136627 Issued in GA

Practice address

130 Medical Way
Stockbridge, GA 30281-9088

Phone

(770) 389-4543

Fax

(770) 474-0566

NPI assigned

Feb 22, 2007

Last updated

Sep 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1508991134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 BANKSTOWN RD",
            "address_2": "BROOKS",
            "city": "BROOKS",
            "state": "GA",
            "postal_code": "302051608",
            "telephone_number": "770-719-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MEDICAL WAY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819088",
            "telephone_number": "770-389-4543",
            "fax_number": "770-474-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHORNACK",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN136627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Schilling Healthcare Enterprises (Schilling Women's Center)
• John P Schilling, MD
• Andrew Clarence Schillinger, PT, DPT
• Jered Robert Schleicher, DPT, PT
• Todd A Schmidt, M.D.
• Denise M. Schroeder
• Thomas Augustin Scofield, MD
• Alicia Nicole Scott, PMHNP
• Felicia Scott, NP
• Jewell Scott, FNP-BC

• Pediatric Nurse Practitioner in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.