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GREGORY STEPHEN WALLACE MD
NPI 1265902092
Family Medicine in Atlanta, GA

Active since December 05, 2018
1042 MASON WOODS DR NE, ATLANTA, GA 30329(678) 974-7424 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gregory Stephen Wallace Md NPPES

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

GREGORY STEPHEN WALLACE MD (NPI 1265902092) is an individual family medicine provider in Atlanta, Georgia, licensed in Georgia (051099) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1265902092
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGREGORY STEPHEN WALLACECredential: MD
Location Address1042 MASON WOODS DR NEAtlanta, GA 30329-3802
Mailing Address1042 Mason Woods Dr NeAtlanta, GA 30329-3802 · (678) 974-7424
Phone(678) 974-7424
Sole ProprietorYes
Enumeration DateDecember 5, 2018
✔ NPI 1265902092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 051099✔ Licensed in CA · G81645
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1042 MASON WOODS DR NE, Atlanta, GA 30329
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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 Gregory Wallace's NPI number?

The NPI number for Gregory Wallace is 1265902092. It was assigned to this individual provider in the NPPES registry on December 5, 2018.

Where is Gregory Wallace located?

Gregory Wallace practices at 1042 Mason Woods Dr NE, Atlanta, GA 30329. The listed phone number is (678) 974-7424.

What is Gregory Wallace's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gregory Wallace was last updated on December 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.