Garyn Scout Schmidt, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-14387 Issued in NC

Practice address

118 Gateway Blvd Ste a
Mooresville, NC 28117-6542

Phone

(704) 230-1302

NPI assigned

Jan 17, 2024

Last updated

Sep 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NC

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fora Dermatology PLLCGroup PAC ID 6305272543, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Fora Dermatology PLLC

  • MOHS-Micrographic Surgery Physician
  • Mooresville, NC
  • NPI 1366086597
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1619738689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 GATEWAY BLVD STE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176542",
            "telephone_number": "910-833-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 GATEWAY BLVD STE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176542",
            "telephone_number": "704-230-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "GARYN",
        "middle_name": "SCOUT",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Schellhorn, MA, LPCA
• Richard Scherczinger, MD
• Kristin Schierer
• Lawrence F Schimel, MD
• Shannon Ameigh Schlicher, FNP
• Amber Schmolke
• Gary Benjamin Schneider, PT
• Kenneth Martin Schneider Jr., DDS
• Amy Schott, MS, LCMHCA
• Scott McLaren DDS PLLC (Bright Pediatric Dentistry)

• Physician Assistant in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.