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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: August 09, 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
Phone(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
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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.

MATTHEW JAMES DELLEN MD
Student in an Organized Health Care Education/Training Program
300 E HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-5811
JAMES G PAIRMORE PA
Physician Assistant (Medical)
300 E HOSPITAL RD
FT. EISENHOWER, GA 30905
Richmond County (067) 787-0300
MISS AMRUTHA ELIZABETH MATHEW M.D.
Pediatrics
300 E HOSPITAL RD
FORT EISENHOWER, GA 30905
Richmond County (706) 787-9399
DR. WAQAS HAQ MD
Internal Medicine
300 E HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-5811
PETER YOON DDS
Dentist
300 E HOSPITAL RD
FORT EISENHOWER, GA 30905
Richmond County (706) 787-2516
SCOTT WALTON M.D.
Otolaryngology
300 E HOSPITAL RD
FT. GORDON, GA 30905
Richmond County (801) 400-5439
NICHOLAS CARROLL DESTEFANO MD
General Practice
300 E HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 383-5299
CHRISTOPHER BARRETT JONES M.D.
Emergency Medicine
300 E HOSPITAL RD
FORT EISENHOWER, GA 30905
Richmond County (706) 721-9289

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 Wallace Cleveland's NPI number?

The NPI number for Wallace Cleveland is 1821510033. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Where is Wallace Cleveland located?

Wallace Cleveland practices at 300 E Hospital Rd, Fort Gordon, GA 30905. The listed phone number is (706) 787-7300.

What is Wallace Cleveland's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Wallace Cleveland was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.