WALLACE S LIGGETT IV PA-C
NPI 1255391330
Physician Assistant in Hickory, NC

Active since March 24, 2006
218 18TH STREET SE, HICKORY, NC 28602(704) 323-2000 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Wallace S Liggett Iv Pa-c NPPES

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

WALLACE S LIGGETT IV PA-C (NPI 1255391330) is an individual physician assistant in Hickory, North Carolina, licensed in North Carolina (0010-01735) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1255391330
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameWALLACE S LIGGETT IVCredential: PA-C
Location Address218 18TH STREET SEHickory, NC 28602-1363
Mailing Address4601 Park Rd, Suite 300Charlotte, NC 28209-3239 · (704) 323-2000
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateJune 20, 2016
NPI 1255391330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-01735
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
218 18TH STREET SE, Hickory, NC 28602

Other Identifiers 7

Other0010-01735NC · License
Other970023056SC · Rr Medicare
Medicare UPINP39977SC
MedicaidGM0561SC
Medicare NSC0397730038NC
Medicare PINNC4721ANC
Medicare ID-Type UnspecifiedP399772348SC

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 Liggett's NPI number?

The NPI number for Wallace Liggett is 1255391330. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Wallace Liggett located?

Wallace Liggett practices at 218 18th Street SE, Hickory, NC 28602. The listed phone number is (704) 323-2000.

What is Wallace Liggett's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Wallace Liggett was last updated on June 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.