Provider / Organization | NPI | Date Certified |
---|---|---|
JOHNATHON SCHMIDT | 1659966190 | 2022-12-03 |
Johnathon Schmidt is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1659966190. Registration indicates Johnathon Schmidt is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
Entity Type | Individual |
Provider Name | Johnathon Schmidt PA |
Practice Office Address | 150 CARNEGIE PL STE 102 FAYETTEVILLE, GA US |
Practice Office Telephone | 1770694634 |
Mailing Address | 150 CARNEGIE PL STE 102 FAYETTEVILLE, GA 302143900 US |
Business Telephone | 7706946349 |
Code | Practice | License No State |
---|---|---|
363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers |