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GRANT WALLACE
NPI 1336006642
Registered Nurse in Atlanta, GA

Active since January 07, 2026
1520 CLIFTON RD NE STE 244, ATLANTA, GA 30322(404) 727-7980 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grant Wallace NPPES

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

GRANT WALLACE (NPI 1336006642) is an individual registered nurse in Atlanta, Georgia, licensed in Georgia (RN319027) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1336006642
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameGRANT WALLACE
Location Address1520 CLIFTON RD NE STE 244Atlanta, GA 30322-4201
Mailing Address72 Walthall St Se Unit BAtlanta, GA 30316-1328 · (616) 438-4241
Phone(404) 727-7980
Sole ProprietorYes
Enumeration DateJanuary 7, 2026
NPPES CertifiedJanuary 7, 2026
✔ NPI 1336006642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in GA · RN319027
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
1520 CLIFTON RD NE STE 244, Atlanta, GA 30322
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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.

ANNIE BOYDSTON
Student in an Organized Health Care Education/Training Program
1520 CLIFTON RD NE STE 244
ATLANTA, GA 30322
Dekalb County (404) 727-7980
KANA JANG
Student in an Organized Health Care Education/Training Program
1520 CLIFTON RD NE STE 244
ATLANTA, GA 30322
Dekalb County (404) 727-7980

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 Grant Wallace's NPI number?

The NPI number for Grant Wallace is 1336006642. It was assigned to this individual provider in the NPPES registry on January 7, 2026.

Where is Grant Wallace located?

Grant Wallace practices at 1520 Clifton Rd NE Ste 244, Atlanta, GA 30322. The listed phone number is (404) 727-7980.

What is Grant Wallace's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Grant Wallace was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.