Provider Demographics
NPI:1457800070
Name:SCHNIDER, CAYLA ELIZABETH (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CAYLA
Middle Name:ELIZABETH
Last Name:SCHNIDER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:CAYLA
Other - Middle Name:ELIZABETH
Other - Last Name:BEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:800 1ST ST
Mailing Address - Street 2:SUITE 410
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-8300
Mailing Address - Country:US
Mailing Address - Phone:478-743-7068
Mailing Address - Fax:478-741-1354
Practice Address - Street 1:800 1ST ST
Practice Address - Street 2:SUITE 410
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-8300
Practice Address - Country:US
Practice Address - Phone:478-743-7068
Practice Address - Fax:478-741-1354
Is Sole Proprietor?:No
Enumeration Date:2016-09-23
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA8018363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003182953AMedicaid
GA58-2537874OtherTAX ID NUMBER
GA202I973747Medicare PIN