Active NPI
Jackie Lynn Schumaker, CSFA
- Surgical Physician Assistant
- Dallas, GA
National Provider Identifier
1639563281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 10175 Dallas Acworth Hwy Ste 103-14
Dallas, GA 30132-9300 - Phone
- (678) 481-1647
- Fax
- (770) 336-6620
- NPI assigned
- Mar 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
10175 Dallas Acworth Hwy Ste 103-14
Dallas, GA 30132-9300
Mailing address
10175 Dallas Acworth Hwy Ste 103-14
Dallas, GA 30132-9300
Phone (678) 481-1647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Surgical Assistants, LLC | Surgical | Current | Accepting new patients |
| Oasis Surgical Assistants LLC | Current | Accepting new patients | |
| Oasis Surgical Associates LLC | Current | Accepting new patients | |
| Oasis Surgical Billing Company LLC | Surgical | Past | Accepting new patients |
Locations
2537 Cedarcrest Rd
Ste 30514
Acworth, GA 30101
Phone (470) 336-8190
10175 Dallas Acworth Hwy
Ste 10314
Dallas, GA 30132
Phone (678) 481-1647
Organizations & group practices 4
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.
-
- Surgery Physician
- Dallas, GA
- NPI 1043824857
-
- Surgery Physician
- Dallas, GA
- NPI 1124653456
-
- Surgical Physician Assistant
- Acworth, GA
- NPI 1134622533
-
- Surgical Physician Assistant
- Marietta, GA
- NPI 1346736030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1639563281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10175 DALLAS ACWORTH HWY STE 103-14",
"city": "DALLAS",
"state": "GA",
"postal_code": "301329300",
"telephone_number": "678-481-1647",
"fax_number": "770-336-6620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10175 DALLAS ACWORTH HWY STE 103-14",
"city": "DALLAS",
"state": "GA",
"postal_code": "301329300",
"telephone_number": "678-481-1647",
"fax_number": "770-336-6620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUMAKER",
"first_name": "JACKIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-21",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.