Maggie Schreck, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5263 Issued in GA

Practice address

755 Mount Vernon Hwy NE Ste 250
Atlanta, GA 30328-4290

Phone

(404) 348-4456

NPI assigned

Jul 12, 2019

Last updated

Jul 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Plastic Surgery Group of Atlanta, PC

  • Plastic Surgery Physician
  • Atlanta, GA
  • NPI 1225645013
  NPD (past)

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1972155604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284290",
            "telephone_number": "404-348-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284290",
            "telephone_number": "404-348-4456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 Old Milton Pkwy Ste 175",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300092477",
            "country_code": "US",
            "telephone_number": "404-348-4456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHRECK",
        "first_name": "MAGGIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "5263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Schrader, LCSW
• Laura Schrader, DNP, AG-ACNP
• Tim Schrader, MD
• Charles Steven Schramm, M.D.
• Kelly D. Schrapp, M.D.
• Robert D Schreiner, MD
• Ashleigh Nicole Schroder, CAA
• Harry William Schroeder III, MD, PHD
• Ilene Schroeder, PH.D.
• Joseph Dennis Schroeder, R.P.A.

• Physician Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.