Active NPI 1275820235 Individual Practitioner Female Practitioner

Dr. Malissa Wall , DO

Pediatrics • Decatur, GA

Professional Overview & Biography Verified Profile Summary

Dr. Malissa Wall, DO is a registered healthcare professional specializing in Pediatrics in Decatur, GA. Practice services are available at 1438 MCLENDON DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1438 Mclendon Dr

Decatur, GA 300331802

Telephone 7704140337

Fax 8552941992

Associated Practice Facility / Clinic

🏢 Milestone Family Medicine Facility NPI 1114976743

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Decatur, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 21.2 Yrs

Regional Practice Density

41 Specialists

Practicing in Decatur, GA (2326 Statewide)

Telehealth Adoption Rate

0.0% 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 072720

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

3 Associated Practitioners

Keyana Cardoza

Physician Assistant

NPI 1518711985

Dr. Iyabo Okuwobi , MD

Pediatrics

NPI 1629029293

Doctor of Medicine (M.D.)

Dr. Akram Elamaari , MD

Pediatrics

NPI 1881981934

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location May 27, 2015

Registered at 1438 MCLENDON DR, DECATUR, GA 300331802 (Tel: 7704140337)

📍

Updated Business Mailing Address May 27, 2015

Registered at 1438 MCLENDON DR, DECATUR, GA 300331802 (Tel: 7704140337)

👤

Provider Name / Credentials Updated May 27, 2015

Recorded as MALISSA WALL, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2015

Pediatrics (License #072720 in GA)

🟢

Initial NPI Registration & Enumeration June 28, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275820235

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 28, 2011

Last Update: May 27, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1438 Mclendon Dr

Decatur, GA 300331802

Phone: 7704140337

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.