DR. ALISA M NELSON-WADE
NPI 1144460668
Dentist - General Practice in Grayson, GA

Active since February 24, 2009
2219 LOGANVILLE HWY, HWY 20, GRAYSON, GA 30017(678) 377-1800(678) 377-0740 Get Directions Write a Review

NPPES record last updated: February 24, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Alisa M Nelson-wade NPPES

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

DR. ALISA M NELSON-WADE (NPI 1144460668) is an individual general practice provider in Grayson, Georgia, licensed in Georgia (12336) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1144460668
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ALISA M NELSON-WADE
Location Address2219 LOGANVILLE HWY, HWY 20Grayson, GA 30017
Mailing Address2219 Loganville Hwy, Hwy 20Grayson, GA 30017-1622 · (678) 377-1800 · Fax (678) 377-0740
Fax(678) 377-0740
Sole ProprietorYes
Enumeration DateFebruary 24, 2009
NPI 1144460668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · 12336
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2219 LOGANVILLE HWY, Grayson, GA 30017

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
2219 LOGANVILLE HWY
GRAYSON, GA 30017

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 Alisa Nelson-wade's NPI number?

The NPI number for Alisa Nelson-wade is 1144460668. It was assigned to this individual provider in the NPPES registry on February 24, 2009.

Where is Alisa Nelson-wade located?

Alisa Nelson-wade practices at 2219 Loganville Hwy Hwy 20, Grayson, GA 30017. The listed phone number is (678) 377-1800.

What is Alisa Nelson-wade's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Alisa Nelson-wade accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Alisa Nelson-wade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alisa Nelson-wade was last updated on February 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.