Active NPI
Claudia Zyskowski
- Physician Assistant
- Cumming, GA
National Provider Identifier
1629599980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 14257
- Practice address
- 4150 Dep Bill Cantrell Memorial Rd Ste 300
Cumming, GA 30040-3007 - Phone
- (770) 886-8111
- Fax
- (770) 205-8539
- NPI assigned
- Jun 27, 2017
- Last updated
- Aug 7, 2026
- 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 | 14257 | GA | Primary |
| Athletic Trainer | 2255A2300X | NU |
Addresses
Primary practice location
4150 Dep Bill Cantrell Memorial Rd Ste 300
Cumming, GA 30040-3007
Mailing address
4150 Dep Bill Cantrell Memorial Rd Ste 300
Cumming, GA 30040-3007
Phone (770) 886-8111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resurgens, LLC | Past | Accepting new patients |
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, 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": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1629599980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 DEP BILL CANTRELL MEMORIAL RD STE 300",
"city": "CUMMING",
"state": "GA",
"postal_code": "300403007",
"telephone_number": "770-886-8111",
"fax_number": "770-205-8539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 DEP BILL CANTRELL MEMORIAL RD STE 300",
"city": "CUMMING",
"state": "GA",
"postal_code": "300403007",
"telephone_number": "770-886-8111",
"fax_number": "770-205-8539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZYSKOWSKI",
"first_name": "CLAUDIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-27",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "14257",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.