Individual provider Active NPI

Edith A Schultz, CEO

  • Durable Medical Equipment & Medical Supplies
  • Peachtree City, GA
National Provider Identifier
1881951218
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
332B00000X Issued in GA
Practice address
204 Meadow Run
Peachtree City, GA 30269-3412
Phone
(470) 214-7751
Fax
(770) 486-8425
NPI assigned
Apr 23, 2012
Last updated
Apr 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 302R00000X GA
Durable Medical Equipment & Medical Supplies 332B00000X 332B00000X GA Primary

Addresses

Primary practice location

204 Meadow Run
Peachtree City, GA 30269-3412

Mailing address

204 Meadow Run
204 Meadow Run
Peachtree City, GA 30269-3412
Phone (678) 826-9204

Other names 1

  • Ms. Edith A Schultz Professional name

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

State licenses

LicenseStateTypeSpecialty
302R00000XGAMDHealth Maintenance Organization
332B00000XGAMDDurable Medical Equipment & Medical Supplies

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1881951218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MEADOW RUN",
            "address_2": "204 MEADOW RUN",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693412",
            "telephone_number": "678-826-9204",
            "fax_number": "770-486-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MEADOW RUN",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693412",
            "telephone_number": "470-214-7751",
            "fax_number": "770-486-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "EDITH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CEO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "302R00000X",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDITH",
            "last_name": "SCHULTZ",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "IMPORT DISTRIBUTOR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.