MR. WALLACE MAXWELL GREEN PAC
NPI 1306979059
Psychiatry & Neurology - Neurology in Fayetteville, GA
NPI Status: Active since March 13, 2007
Contact Information
1275 HIGHWAY 54 W
STE.105
FAYETTEVILLE, GA
ZIP 30214
Phone: (770) 719-2965
Fax: (770) 719-2963
- Individual
- Male
- Psychiatry & Neurology
- Neurology
About WALLACE GREEN
This page provides the complete NPI Profile along with additional information for Wallace Green, a provider established in Fayetteville, Georgia with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1306979059 assigned on March 2007. The practitioner's primary taxonomy code is 2084N0400X with license number 001827 (GA). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1306979059
- Provider Name
- MR. WALLACE MAXWELL GREEN PAC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1275 HIGHWAY 54 W STE.105 FAYETTEVILLE, GA 30214
- Location Phone
- (770) 719-2965
- Location Fax
- (770) 719-2963
- Mailing Address
- 1275 HIGHWAY 54 W STE.105 FAYETTEVILLE, GA 30214
- Mailing Phone
- (770) 719-2965
- Mailing Fax
- (770) 719-2963
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-13-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 001827
- License State
- GA
- Taxonomy Description
- A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Assessment of emotional or behavioral problems
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
This service was performed 31 times for 16 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 58 times for 57 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 12 times for 12 patientsReviews for MR. WALLACE MAXWELL GREEN PAC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1306979059, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
FAYETTEVILLE, GA 30214
FAYETTEVILLE, GA 30214
FAYETTEVILLE, GA 30214
FAYETTEVILLE, GA 30214
FAYETTEVILLE, GA 30214
FAYETTEVILLE, GA 30214
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306979059, enumerated as an "individual" on March 13, 2007.
The provider is located at 1275 HIGHWAY 54 W STE.105 FAYETTEVILLE, GA 30214 and the phone number is (770) 719-2965.
Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.
