MS. SALLIE JEANETTE WACTER FNP-C
NPI 1164947602
Nurse Practitioner - Family in Columbus, GA

Active since August 06, 2017
1400 BRADLEY LAKE BLVD, COLUMBUS, GA 31904(706) 256-2525 Get Directions Write a Review

NPPES record last updated: August 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Sallie Jeanette Wacter Fnp-c NPPES

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

MS. SALLIE JEANETTE WACTER FNP-C (NPI 1164947602) is an individual family provider in Columbus, Georgia, licensed in Georgia (RN124613) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1164947602
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SALLIE JEANETTE WACTERCredential: FNP-C
Location Address1400 BRADLEY LAKE BLVDColumbus, GA 31904-3688
Mailing Address501 Pueblo RdColumbus, GA 31904-1220
Sole ProprietorNo
Enumeration DateAugust 6, 2017
NPI 1164947602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN124613
1400 BRADLEY LAKE BLVD, Columbus, GA 31904

Other Providers at the Same Location NPPES 4

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1400 BRADLEY LAKE BLVD
COLUMBUS, GA 31904
Clinic/Center (Primary Care)
1400 BRADLEY LAKE BLVD
COLUMBUS, GA 31904
Family Medicine
1400 BRADLEY LAKE BLVD
COLUMBUS, GA 31904
Nurse Practitioner (Family)
1400 BRADLEY LAKE BLVD
COLUMBUS, GA 31904

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 Sallie Wacter's NPI number?

The NPI number for Sallie Wacter is 1164947602. It was assigned to this individual provider in the NPPES registry on August 6, 2017.

Where is Sallie Wacter located?

Sallie Wacter practices at 1400 Bradley Lake Blvd, Columbus, GA 31904. The listed phone number is (706) 256-2525.

What is Sallie Wacter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Sallie Wacter was last updated on August 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.