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MEGAN WALLACE
NPI 1386181022
Nurse Practitioner - Family in Stone Mountain, GA

Active since January 19, 2017
2240 W PARK PLACE BLVD STE A, STONE MOUNTAIN, GA 30087(770) 771-5222 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Jan 11, 2018, Jan 19, 2017 (3 updates tracked since 2017).

About Megan Wallace NPPES

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

MEGAN WALLACE (NPI 1386181022) is an individual family provider in Stone Mountain, Georgia, licensed in Georgia (RN231247) and active in the NPI registry since January 2017. She maintains a secondary practice location in Tucker.

NPPES Registry Identity

NPI1386181022
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMEGAN WALLACE
Location Address2240 W PARK PLACE BLVD STE AStone Mountain, GA 30087-3543
Mailing Address2240 W Park Place Blvd Ste AStone Mountain, GA 30087-3543
Phone(770) 771-5222
Sole ProprietorNo
Enumeration DateJanuary 19, 2017
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1386181022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN231247
2240 W PARK PLACE BLVD STE A, Stone Mountain, GA 30087
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Secondary Practice Location 1

Location 11390 Montreal Rd, Suite 180Tucker, GA 30084-8143 · Phone (404) 446-4600

Other Providers at the Same Location NPPES

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

MS. ANNE MICHELE BENFORD NP
Pediatrics (Adolescent Medicine)
2240 W PARK PLACE BLVD STE A
STONE MOUNTAIN, GA 30087
Dekalb County (770) 771-5222

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 Megan Wallace's NPI number?

The NPI number for Megan Wallace is 1386181022. It was assigned to this individual provider in the NPPES registry on January 19, 2017.

Where is Megan Wallace located?

Megan Wallace practices at 2240 W Park Place Blvd Ste A, Stone Mountain, GA 30087. The listed phone number is (770) 771-5222.

What is Megan Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Megan Wallace was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.