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EDGAR WOLLAM
NPI 1316978166
Internal Medicine - Nephrology in Austell, GA

Active since July 06, 2006
1660 MULKEY RD, STE B, AUSTELL, GA 30106(678) 460-2700(770) 739-0212 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgar Wollam NPPES

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

EDGAR WOLLAM (NPI 1316978166) is an individual nephrology provider in Austell, Georgia, licensed in Georgia (19436) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1316978166
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameEDGAR WOLLAM
Location Address1660 MULKEY RD, STE BAustell, GA 30106
Mailing Address1660 Mulkey Rd, Ste BAustell, GA 30106 · (678) 460-2700 · Fax (770) 739-0212
Phone(678) 460-2700
Fax(770) 739-0212
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateOctober 19, 2011
✔ NPI 1316978166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 19436
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1660 MULKEY RD, Austell, GA 30106
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Other Names 1

Other Name (5)Gary Wollam Md

Other Identifiers 13

Other581992673003GA · Uhc
Other920632GA · Aetna
Other110059639GA · Rr Medicare
Medicare UPIND41425
Medicaid000146187GGA
Other356860GA · Bcbs
Medicaid000146187FGA
Medicaid000146187CGA
Medicaid000146187BGA
Medicaid0001416187HGA
Medicaid000146187DGA
Other03169GA · Bcbs Group #
Medicaid000146187EGA

Other Providers at the Same Location NPPES 2

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

LINDA TURBERVILLE-TRUJILLO NP
Nurse Practitioner
1660 MULKEY RD, SUITE B
AUSTELL, GA 30106
Cobb County (678) 460-2700
JEAN CHERIE LESTER RD LD
Dietitian, Registered
1660 MULKEY RD, SUITE B
AUSTELL, GA 30106
Cobb County (678) 460-2700

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 Edgar Wollam's NPI number?

The NPI number for Edgar Wollam is 1316978166. It was assigned to this individual provider in the NPPES registry on July 6, 2006. The provider is also known as Gary Wollam MD.

Where is Edgar Wollam located?

Edgar Wollam practices at 1660 Mulkey Rd Ste B, Austell, GA 30106. The listed phone number is (678) 460-2700.

What is Edgar Wollam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Edgar Wollam was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.