Individual provider Active NPI

Abigail Madeleine Schumacher, PA-C

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1659982973
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-10954 Issued in NC
Practice address
3350 Six Forks Rd
Raleigh, NC 27609-7233
Phone
(919) 556-1008
Fax
(919) 556-6099
NPI assigned
Aug 11, 2020
Last updated
Aug 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-10954 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

3350 Six Forks Rd
Raleigh, NC 27609-7233

Mailing address

414 Big Willow Way
Rolesville, NC 27571-9329
Phone (919) 671-9727

Other practice location 1

4551 New Bern Ave Ste 160
Raleigh, NC 27610-1552
Phone (919) 556-1008

Other practice location 2

414 Big Willow Way
Rolesville, NC 27571-9329
Phone (919) 671-9727

Other names 1

  • Abigail Madeleine Fisher Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210505000514 NC Practitioner - Physician Assistant 0446669311 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-10954NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Person Urgent Care LLC CurrentSince Oct 1, 2024 Accepting new patients
DLP Person Urgent Care LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

3762 Durham Rd
Ste A
Roxboro, NC 27573
Phone (336) 330-0400

Interoperability endpoints

  • Direct secure messaging: abigail.schumacher.1@20247.direct.athenahealth.com

Organizations & group practices 3

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": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1659982973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 BIG WILLOW WAY",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275719329",
            "telephone_number": "919-671-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097233",
            "telephone_number": "919-556-1008",
            "fax_number": "919-556-6099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4551 New Bern Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101552",
            "country_code": "US",
            "telephone_number": "919-556-1008",
            "fax_number": "919-556-6099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "414 Big Willow Way",
            "address_purpose": "LOCATION",
            "city": "Rolesville",
            "state": "NC",
            "postal_code": "275719329",
            "country_code": "US",
            "telephone_number": "919-671-9727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUMACHER",
        "first_name": "ABIGAIL",
        "middle_name": "MADELEINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10954",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "FISHER",
            "middle_name": "MADELEINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.