Individual provider Active NPI

Paul Robert Schuellein, MD

  • Obstetrics & Gynecology Physician
  • Elizabeth City, NC
National Provider Identifier
1538135355
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2015-00231 Issued in NC
Practice address
112 Medical Dr
Elizabeth City, NC 27909-3361
Phone
(252) 384-2610
Fax
(844) 494-0230
NPI assigned
Feb 23, 2006
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101-048710 VA
Obstetrics & Gynecology Physician 207V00000X 2015-00231 NC Primary

Addresses

Primary practice location

112 Medical Dr
Elizabeth City, NC 27909-3361

Mailing address

112 Medical Dr
Elizabeth City, NC 27909-3361
Phone (252) 384-2610

Other practice location 1

390 S Main St
Suite 101
Rocky Mount, VA 24151-1766
Phone (540) 484-4836

Other identifiers 1

IdentifierTypeStateIssuer
6212026MedicaidVA

Other names 1

  • Dr. Paul R Schuellein Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150804003398 NC Practitioner - Obstetrics/Gynecology 4284709528 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Albert Einstein College of Medicine of Yeshiva University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

203 A Earnhart Dr
Vidant Womens Care Edenton Earnhardt Drive
Edenton, NC 27932-8401
Phone (252) 482-2134

203 Earnhart Dr
Suite a
Edenton, NC 27932-8401
Phone (252) 482-7407

203 Earnhart Dr B
Vidant General Surgery Edenton
Edenton, NC 27932-8401
Phone (252) 482-5868

401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101-048710VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Physician Services - Sentara, Inc CurrentSince Apr 27, 2015 Accepting new patients
Vidant Medical Group LLC CurrentSince Feb 3, 2025 Accepting new patients
Albemarle Regional Health Services CurrentSince Sep 4, 2020 Accepting new patients
Albemarle Regional Health Services CurrentSince Sep 4, 2020 Accepting new patients
Albemarle Physician Services- Sentara, Inc. CurrentSince Apr 27, 2015 Accepting new patients
Albemarle Physician Services - Sentara, Inc Obstetrics & Gynecology Current Accepting new patients

Locations

211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590

905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460

112 Medical Dr
Elizabeth Cty, NC 27909
Phone (252) 338-2151

711 Roanoke Ave
Elizabeth Cty, NC 27909
Phone (252) 338-4370

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1538135355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MEDICAL DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093361",
            "telephone_number": "252-384-2610",
            "fax_number": "844-494-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MEDICAL DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093361",
            "telephone_number": "252-384-2610",
            "fax_number": "844-494-0230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 S Main St",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "VA",
            "postal_code": "241511766",
            "country_code": "US",
            "telephone_number": "540-484-4836",
            "fax_number": "540-484-4837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUELLEIN",
        "first_name": "PAUL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101-048710",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2015-00231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6212026",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "SCHUELLEIN",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.