WALLACE F. MARTIN, M.D.
NPI 1124225065
Surgery in Lawrenceville, GA

Q: What is Wallace F. Martin, M.D.'s NPI number?

The NPI number for Wallace F. Martin, M.D. is 1124225065. It was assigned to this organization in the NPPES registry on July 2, 2007.

Q: What is Wallace F. Martin, M.D.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since July 02, 2007

631 PROFESSIONAL DR, SUITE 300, LAWRENCEVILLE, GA 30046(770) 962-9977(770) 339-9804 Get Directions Write a Review

NPPES record last updated: September 1, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wallace F. Martin, M.d. NPPES

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

WALLACE F. MARTIN, M.D. (NPI 1124225065) is a healthcare organization registered as a surgery in Lawrenceville, Georgia and active in the NPI registry since July 2007. The organization lists Wallace Ford Martin, Owner, as its authorized official.

NPPES Registry Identity

NPI1124225065

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameWALLACE F. MARTIN, M.D.

Location Address631 PROFESSIONAL DR, SUITE 300Lawrenceville, GA 30046-3371

Mailing Address631 Professional Drive, Suite 300Lawrenceville, GA 30046-3371 · (770) 962-9977 · Fax (770) 339-9804

Phone(770) 962-9977

Fax(770) 339-9804

Organization SubpartNo

Authorized OfficialWallace Ford MartinOwner · (770) 962-9977

Enumeration DateJuly 2, 2007

Last NPPES UpdateSeptember 1, 2010

✔ NPI 1124225065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in GA · 026153

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

631 PROFESSIONAL DR, Lawrenceville, GA 30046

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Other Identifiers 4

Medicare UPIND46027GA

OtherGRP1797GA · Medicare Group#

Medicare ID-Type Unspecified252763784AGA

Medicaid00301914AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

ROSALEE M GOBEILLE-DORMIO FNP

Nurse Practitioner (Family)

631 PROFESSIONAL DR, SUITE 360
LAWRENCEVILLE, GA 30046

Gwinnett County (770) 962-4895

REBEKAH E THOMAS PA

Physician Assistant

631 PROFESSIONAL DR, SUITE 360
LAWRENCEVILLE, GA 30046

Gwinnett County (770) 962-4895

REBECA C KLATT NP-C

Nurse Practitioner (Adult Health)

631 PROFESSIONAL DR, SUITE 450
LAWRENCEVILLE, GA 30046

Gwinnett County (770) 963-8030

MR. LAWRENCE D KAPLAN MD

Internal Medicine (Critical Care Medicine)

631 PROFESSIONAL DR, SUITE 350
LAWRENCEVILLE, GA 30046

Gwinnett County (770) 995-0630

RICHARD THOMAS HEIMBECKER P.A.-C

Physician Assistant (Surgical)

631 PROFESSIONAL DR, SUITE 200
LAWRENCEVILLE, GA 30046

Gwinnett County (678) 312-3500

DR. VOSUDESH K PAI

Internal Medicine (Critical Care Medicine)

631 PROFESSIONAL DR, SUITE # 350
LAWRENCEVILLE, GA 30046

Gwinnett County (770) 995-0630

KENNETH L NORRIS P.A.

Physician Assistant (Surgical)

631 PROFESSIONAL DR, SUITE 200
LAWRENCEVILLE, GA 30046

Gwinnett County (678) 312-3500

SCOTT MICHAEL LINACRE PA-C

Physician Assistant (Surgical)

631 PROFESSIONAL DR, SUITE 360
LAWRENCEVILLE, GA 30046

Gwinnett County (678) 312-2700

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 Wallace F. Martin, M.D.'s NPI number?

The NPI number for Wallace F. Martin, M.D. is 1124225065. It was assigned to this organization in the NPPES registry on July 2, 2007.

Where is Wallace F. Martin, M.D. located?

Wallace F. Martin, M.D. is located at 631 Professional Dr Suite 300, Lawrenceville, GA 30046. The listed phone number is (770) 962-9977.

What is Wallace F. Martin, M.D.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Wallace F. Martin, M.D. was last updated on September 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.