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WALLACE EDWIN WILSON PA-C
NPI 1841279411
Physician Assistant in Cumming, GA

Active since January 12, 2006
410 PEACHTREE PKWY STE 300, CUMMING, GA 30041(404) 255-1933(404) 785-2822 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2022, Jun 25, 2021 (2 updates tracked since 2021).

About Wallace Edwin Wilson Pa-c NPPES

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

WALLACE EDWIN WILSON PA-C (NPI 1841279411) is an individual physician assistant in Cumming, Georgia, licensed in Georgia (4053) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1841279411
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameWALLACE EDWIN WILSONCredential: PA-C
Location Address410 PEACHTREE PKWY STE 300Cumming, GA 30041-7407
Mailing Address410 Peachtree Pkwy Ste 300Cumming, GA 30041-7407 · (404) 255-1933 · Fax (404) 785-2822
Phone(404) 255-1933
Fax(404) 785-2822
Sole ProprietorNo
Enumeration DateJanuary 12, 2006
Last NPPES UpdateJune 6, 20222 updates tracked since enumeration
✔ NPI 1841279411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 4053
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.
410 PEACHTREE PKWY STE 300, Cumming, GA 30041
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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.

JOEY LOW MD
Pediatrics (Pediatric Endocrinology)
410 PEACHTREE PKWY STE 300
CUMMING, GA 30041
Forsyth County (404) 785-5437
LESLIE LANE SCHLAPFER RD, LD
Dietitian, Registered
410 PEACHTREE PKWY STE 300
CUMMING, GA 30041
Forsyth County (404) 785-2770

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 Wilson's NPI number?

The NPI number for Wallace Wilson is 1841279411. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is Wallace Wilson located?

Wallace Wilson practices at 410 Peachtree Pkwy Ste 300, Cumming, GA 30041. The listed phone number is (404) 255-1933.

What is Wallace Wilson'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 Wilson was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.