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JOHNATHON SCHMIDT PA
NPI 1659966190
Physician Assistant in Fayetteville, GA

Active since March 06, 2021PECOS EnrolledAccepts Medicare Assignment
150 CARNEGIE PL STE 102, FAYETTEVILLE, GA 30214(177) 069-4634 Get Directions Write a Review

NPPES record last updated: December 3, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 3, 2022, Dec 10, 2021, Mar 6, 2021 (3 updates tracked since 2021).

About Johnathon Schmidt Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNATHON SCHMIDT PA (NPI 1659966190) is an individual physician assistant in Fayetteville, Georgia and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Southern Regional Medical Center, and is a graduate of University Of Arkansas College Of Medicine (2019).

NPPES Registry Identity

NPI1659966190
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHNATHON SCHMIDTCredential: PA
Location Address150 CARNEGIE PL STE 102Fayetteville, GA 30214-3900
Mailing Address150 Carnegie Pl Ste 102Fayetteville, GA 30214-3900 · (770) 694-6349
Phone(177) 069-4634
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2019
Enumeration DateMarch 6, 2021
Last NPPES UpdateDecember 3, 20223 updates tracked since enumeration
NPPES CertifiedDecember 3, 2022
✔ NPI 1659966190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
150 CARNEGIE PL STE 102, Fayetteville, GA 30214
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Johnathon Schmidt Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628599826
PECOS Enrollment IDI20250304002793
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southern Regional Medical Center

Acute Care Hospitals · Riverdale, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110165
Location11 Upper Riverdale Road, SWRiverdale, GA 30274 · Clayton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN ARIELLE EVANS LMFT
Marriage & Family Therapist
150 CARNEGIE PL STE 102
FAYETTEVILLE, GA 30214
Fayette County (770) 694-6349

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnathon Schmidt's NPI number?

The NPI number for Johnathon Schmidt is 1659966190. It was assigned to this individual provider in the NPPES registry on March 6, 2021.

Where is Johnathon Schmidt located?

Johnathon Schmidt practices at 150 Carnegie Pl Ste 102, Fayetteville, GA 30214. The listed phone number is (177) 069-4634.

What is Johnathon Schmidt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Johnathon Schmidt enrolled in Medicare?

Yes. Johnathon Schmidt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Johnathon Schmidt affiliated with any hospitals?

According to CMS data, Johnathon Schmidt is affiliated with Southern Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Johnathon Schmidt was last updated on December 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.