Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841279411 Individual Practitioner Male Practitioner

Wallace Edwin Wilson , PA-C

Physician Assistant • Cumming, GA

Professional Overview & Biography Verified Profile Summary

Wallace Wilson, PA-C is a registered healthcare professional specializing in Physician Assistant in Cumming, GA. Practice services are available at 410 PEACHTREE PKWY STE 300 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

410 Peachtree Pkwy Ste 300

Cumming, GA 300417407

Telephone 4042551933
Fax 4047852822
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cumming, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
87 Specialists

Practicing in Cumming, GA (4726 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 4053

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Charles Coppinger , PA-C

Physician Assistant

NPI 1003009911

Physician Assistant (Certified)

Dr. Joshua Murphy , MD

Orthopaedic Surgery - Pediatric Orthopaedic Surgery

NPI 1023247863

Doctor of Medicine (M.D.)

Dr. Logan Caplan , MD

Pediatrics - Sports Medicine

NPI 1023690245

Doctor of Medicine (M.D.)

Dr. Stephen Miller , MD

Pediatrics - Sports Medicine

NPI 1063434488

Doctor of Medicine (M.D.)

Veronica Hill , CPNP

Nurse Practitioner - Pediatrics

NPI 1073881777

Certified Pediatric Nurse Practitioner

Nancy Kralovich , PA-C

Physician Assistant - Medical

NPI 1083674675

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 25, 2021

Registered at 410 PEACHTREE PKWY STE 300, CUMMING, GA 300417407 (Tel: 4042551933)

📍
Updated Business Mailing Address June 25, 2021

Registered at 410 PEACHTREE PKWY STE 300, CUMMING, GA 300417407 (Tel: 4042551933)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2021

Physician Assistant (License #4053 in GA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5445 MERIDIAN MARKS RD NE, SUITE 250, ATLANTA, GA 303424763 (Tel: 4042551933)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5445 MERIDIAN MARKS RD NE, SUITE 250, ATLANTA, GA 303424763 (Tel: 4042551933)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as WALLACE WILSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #004053 in GA)

🟢
Initial NPI Registration & Enumeration January 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1841279411
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2006
Last Update: June 06, 2022
Sole Proprietor: No

Mailing Address

410 Peachtree Pkwy Ste 300

Cumming, GA 300417407

Phone: 4042551933

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.