Individual provider Active NPI

Jackie Lynn Schumaker, CSFA

  • Surgical Physician Assistant
  • Dallas, GA
National Provider Identifier
1639563281
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
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

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Oasis Surgical Assistants, LLC Surgical CurrentSince Jun 22, 2021 Accepting new patients
Oasis Surgical Assistants LLC CurrentSince Dec 21, 2021 Accepting new patients
Oasis Surgical Associates LLC CurrentSince Dec 21, 2025 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.

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.

Verify at the official NPI Registry.