Individual provider Active NPI

Sharon Agnes Schlick, PA-C

  • Medical Physician Assistant
  • Perry, FL
National Provider Identifier
1801807615
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9101642 Issued in FL
Practice address
315 E Ash St
Perry, FL 32347
Phone
(850) 584-3278
Fax
(850) 584-8171
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9101642 FL Primary

Addresses

Primary practice location

315 E Ash St
Perry, FL 32347

Mailing address

315 E Ash St
Perry, FL 32347
Phone (850) 584-3278

Other identifiers 1

IdentifierTypeStateIssuer
PA9101642OtherFLSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20071114000447 FL Practitioner - Physician Assistant 8325136971 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Memorial Hospital Inc CurrentSince Mar 17, 2010 Accepting new patients

Locations

333 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 584-0643

Organizations & group practices 2

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1801807615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E ASH ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "32347",
            "telephone_number": "850-584-3278",
            "fax_number": "850-584-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E ASH ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "32347",
            "telephone_number": "850-584-3278",
            "fax_number": "850-584-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLICK",
        "first_name": "SHARON",
        "middle_name": "AGNES",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PA9101642",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, FL

Sources for this page

Verify at the official NPI Registry.