Individual provider Active NPI

Alex Phillip Schultz, PA-C, MMSC

  • Surgical Physician Assistant
  • Atlanta, GA
National Provider Identifier
1649626938
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
7967 Issued in GA
Practice address
476 Wilmer St NE
Unit 1230
Atlanta, GA 30308-2933
Phone
(504) 239-3467
NPI assigned
May 5, 2016
Last updated
May 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 7967 GA
Surgical Physician Assistant 363AS0400X 7967 GA Primary

Addresses

Primary practice location

476 Wilmer St NE
Unit 1230
Atlanta, GA 30308-2933

Mailing address

476 Wilmer St NE
Unit 1230
Atlanta, GA 30308-2933
Phone (504) 239-3467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181108001246 MD Practitioner - Physician Assistant 1456611029 Reassigns benefits to 4 organizations
I20210621003489 DC Practitioner - Physician Assistant 1456611029 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regenerative Orthopedics and Sports Medicine LLCGroup PAC ID 1355600941, 11 clinicians
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

11300 Rockville Pike
Suite 615
Rockville, MD 20852-3033
Phone (202) 681-7671

116 Defense Hwy
Suite 201
Annapolis, MD 21401-7046
Phone (202) 681-7671

133 Defense Hwy
Annapolis, MD 21401-7015

5500 Knoll N Dr
Suite 190
Columbia, MD 21045-2487
Phone (663) 505-7150

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

Merit-based Incentive Payment System (MIPS)

Final score
84.24 of 100Reported as group
Quality
75.4
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7967GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jan 26, 2026 Accepting new patients
Cep America LLC CurrentSince Oct 1, 2022 Accepting new patients
Regenerative Orthopedics and Sports Medicine, LLC CurrentSince Jan 1, 2021 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Oct 1, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Jan 26, 2026 Accepting new patients
Lifebridge Community Physicians CurrentSince Oct 1, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

1145 19th St NW
Ste 410
Washington, DC 20036
Phone (202) 331-1740

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

116 Defense Hwy
Ste 201
Annapolis, MD 21401

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

5500 Knoll North Dr
Ste 190
Columbia, MD 21045
Phone (443) 917-2700

10084 Reisterstown Rd
Ste 300A
Owings Mills, MD 21117
Phone (410) 601-8691

11200 Rockville Pike
Ste 300
Rockville, MD 20852
Phone (240) 766-8984

11300 Rockville Pike
Ste 615
Rockville, MD 20852
Phone (301) 881-7302

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

1760 Old Meadow Rd
Ste 220
Mc Lean, VA 22102
Phone (703) 783-3529

1760 Old Meadow Rd
Ste 210
McLean, VA 22102
Phone (703) 717-4264

Interoperability endpoints

  • Direct secure messaging: alex.schultz.1@12440.direct.athenahealth.com

Organizations & group practices 11

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": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1649626938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 WILMER ST NE",
            "address_2": "UNIT 1230",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082933",
            "telephone_number": "504-239-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 WILMER ST NE",
            "address_2": "UNIT 1230",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082933",
            "telephone_number": "504-239-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "ALEX",
        "middle_name": "PHILLIP",
        "credential": "PA-C, MMSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "7967",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "7967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.