FREDA ELLEN WALL PA-C
NPI 1063417608
Physician Assistant - Surgical in Atlanta, GA

Q: What is Freda Wall's NPI number?

The NPI number for Freda Wall is 1063417608. It was assigned to this individual provider in the NPPES registry on June 20, 2005. The provider is also known as Freda Ellen Sims.

Q: What is Freda Wall's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Freda Wall was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment

2001 PEACHTREE RD NE, STE 645, ATLANTA, GA 30309(404) 350-0106(404) 350-0176 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Freda Ellen Wall Pa-c NPPES

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

FREDA ELLEN WALL PA-C (NPI 1063417608) is an individual surgical provider in Atlanta, Georgia, licensed in Georgia (002766) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1063417608

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameFREDA ELLEN WALLCredential: PA-C

Location Address2001 PEACHTREE RD NE, STE 645Atlanta, GA 30309-1476

Mailing Address2001 Peachtree Rd Ne, Ste 645Atlanta, GA 30309-1476 · (404) 350-0106 · Fax (404) 350-0176

Phone(404) 350-0106

Fax(404) 350-0176

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateJune 20, 2005

Last NPPES UpdateOctober 22, 2007

✔ NPI 1063417608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in GA · 002766

Also ListedPhysician AssistantTaxonomy 363A00000X · License 002766 (GA)

2001 PEACHTREE RD NE, Atlanta, GA 30309

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Other Names 1

Former Name (1)Freda Ellen Sims

Other Identifiers 3

OtherP00236158Railroad Medicare

Medicare ID-Type Unspecified97WCFJT

Medicare UPINS63714

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Freda Ellen Wall Pa-c 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 ID6305834805

PECOS Enrollment IDI20040504000443

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.

Medicare Billing Reassignments

Medicare enrollment records show Freda Wall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Piedmont Healthcare Inc

23 mi

Cardiovascular Disease

1133 EAGLES LANDING PKWY
Stockbridge, GA 30281

Physician assistant employed and billed by this organization, Georgia enrollment
87 clinicians in this Medicare group

NPI 1376624940 (404) 605-3368

Piedmont Providers LLC

46 mi

Internal Medicine

220 J L WHITE DR STE 120
Jasper, GA 30143

Physician assistant employed and billed by this organization, Georgia enrollment
689 clinicians in this Medicare group

NPI 1548273592 (770) 801-2500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

65 services60 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

40 services39 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

38 services18 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

21 services21 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

21 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

20 services20 patients

Other Providers at the Same Location NPPES 20

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

ATLANTA WOMEN'S OB GYN PC 2 LLC

Obstetrics & Gynecology

2001 PEACHTREE RD NE, SUITE 640
ATLANTA, GA 30309

Fulton County (404) 943-0205

EDWIN LADD JONES III MD

Orthopaedic Surgery

2001 PEACHTREE RD NE, STE 705
ATLANTA, GA 30309

Fulton County (404) 355-0745

BRUCE ALAN CASSIDY M.D.

Internal Medicine (Pulmonary Disease)

2001 PEACHTREE RD NE, SUITE 435
ATLANTA, GA 30309

Fulton County (404) 352-1994

BARBARA EVANS CST

2001 PEACHTREE RD NE, SUITE 705
ATLANTA, GA 30309

Fulton County (404) 355-0743

PEACHTREE PULMONARY CONSULTANTS, PC

Internal Medicine (Critical Care Medicine)

2001 PEACHTREE RD NE, SUITE 435
ATLANTA, GA 30309

Fulton County (404) 352-1994

DR. HOWARD C CHANDLER JR. M.D.

Neurological Surgery

2001 PEACHTREE RD NE, SUITE 645
ATLANTA, GA 30309

Fulton County (404) 605-2050

GARY ROBERT GROPPER MD

Neurological Surgery

2001 PEACHTREE RD NE, SUITE 575
ATLANTA, GA 30309

Fulton County (404) 350-0106

MR. JOSEPH A. LAMB PA-C

Physician Assistant (Surgical)

2001 PEACHTREE RD NE, SUITE 575
ATLANTA, GA 30309

Fulton County (404) 350-0106

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 Freda Wall's NPI number?

The NPI number for Freda Wall is 1063417608. It was assigned to this individual provider in the NPPES registry on June 20, 2005. The provider is also known as Freda Ellen Sims.

Where is Freda Wall located?

Freda Wall practices at 2001 Peachtree Rd NE Ste 645, Atlanta, GA 30309. The listed phone number is (404) 350-0106.

What is Freda Wall's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Freda Wall enrolled in Medicare?

Yes. Freda Wall 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.

Which organizations bill Medicare for Freda Wall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Freda Wall is a physician assistant employed by 2 organizations: Piedmont Healthcare Inc (Stockbridge, GA) and Piedmont Providers LLC (Jasper, GA). Each organization bills Medicare and receives payment for Freda Wall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Freda Wall was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.