MR. WALLACE D CLEVELAND JR. PA-C
NPI 1821510033
Physician Assistant in Fort Gordon, GA

Active since July 10, 2017
300 E HOSPITAL RD, FORT GORDON, GA 30905(706) 787-7300 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 1, 2019, Jul 10, 2017 (2 updates tracked since 2017).

About Mr. Wallace D Cleveland Jr. Pa-c NPPES

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

MR. WALLACE D CLEVELAND JR. PA-C (NPI 1821510033) is an individual physician assistant in Fort Gordon, Georgia and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1821510033
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. WALLACE D CLEVELAND JR.Credential: PA-C
Location Address300 E HOSPITAL RDFort Gordon, GA 30905
Mailing Address300 E Hospital RdFort Gordon, GA 30905 · (706) 787-7300
Sole ProprietorNo
Enumeration DateJuly 10, 2017
Last NPPES UpdateAugust 3, 20232 updates tracked since enumeration
NPPES CertifiedAugust 2, 2023
NPI 1821510033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

300 E HOSPITAL RD, Fort Gordon, GA 30905

Other Providers at the Same Location NPPES 20

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

Military Hospital (Military General Acute Care Hospital)
300 E HOSPITAL RD, DWIGHT D. EISENHOWER ARMY MEDICAL CENTER
FORT GORDON, GA 30905
Social Worker (Clinical)
300 E HOSPITAL RD, EAMC- RTF- 12 WEST
FT. GORDON, GA 30905
Dietitian, Registered
300 E HOSPITAL RD
FT GORDON, GA 30905
Psychologist
300 E HOSPITAL RD
FORT GORDON, GA 30905
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
300 E HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER
FT GORDON, GA 30905
Clinical Neuropsychologist
300 E HOSPITAL RD, ROOM 13A-10
FORT GORDON, GA 30905
Urology
300 E HOSPITAL RD, DDEAMC
FORT GORDON, GA 30905
Military Health Care Provider
300 E HOSPITAL RD
FT GORDON, GA 30905

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821510033, enumerated as an "individual" on July 10, 2017.

The provider is located at 300 E HOSPITAL RD FORT GORDON, GA 30905 and the phone number is (706) 787-7300.

Physician Assistant with taxonomy code 363A00000X.