Active NPI
Zola Camille Norman, PA
- Physician Assistant
- Peachtree City, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11119
- Practice address
- 100 Line Creek Dr
Peachtree City, GA 30269-1028 - Phone
- (770) 847-8786
- NPI assigned
- Jun 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 11119 | GA | Primary |
Addresses
Primary practice location
100 Line Creek Dr
Peachtree City, GA 30269-1028
Mailing address
100 Highlands Way
Peachtree City, GA 30269-1400
Phone (678) 435-2142
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Mercer University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1175 N Glynn St
Suite 140
Fayetteville, GA 30214-1390
Phone (770) 881-8886
1825 Hwy 34 E
Suite 1200
Newnan, GA 30265-6416
Phone (770) 502-2121
1825 Hwy 34 E 1200
Newnan, GA 30265-6416
2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941
2976 Chapel Hill Rd
Douglasville, GA 30135-1733
Phone (678) 695-6960
35 Arbor Springs Ter
Newnan, GA 30265-4214
Phone (470) 323-5200
749 Lanier Ave W
Suite 1850
Fayetteville, GA 30214-7658
Phone (770) 835-4925
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11119 | GA | MD | Physician Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Newnan, GA
- NPI 1235411547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1538898366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HIGHLANDS WAY",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691400",
"telephone_number": "678-435-2142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LINE CREEK DR",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691028",
"telephone_number": "770-847-8786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORMAN",
"first_name": "ZOLA",
"middle_name": "CAMILLE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-07",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "11119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.