MR. TERRELL RICHARD JR. WALLACE (PA C) – Medical Physician Assistant, NPI 1356399828

Medical Physician Assistant

MR. TERRELL RICHARD JR. WALLACE (PA C) is a healthcare provider. based in Warner robins, Georgia. specializing in Medical Physician Assistant. They hold the professional credentials PA C. They hold a License No. 002665 (GA). The NPI Number for MR. TERRELL RICHARD JR. WALLACE (PA C) is 1356399828

Main info

Male

36 Years Of Experience

Accepts Medicare Assignment

Name

MR. TERRELL RICHARD JR. WALLACE (PA C)

NPI

1356399828

Phone

(478) 922-3061

Address

207 ESPLANADE DRIVE

Enumeration Date

5 May 2006

Last Update Date

18 September 2012

Doctor Profile

Medical School Name

UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE

Secondary Phone

4789531020

Graduation Year

1990 (36 years ago)

PAC ID

9436342532

Group Practice PAC ID

8921096199

Professional Enrollment ID

I20101021000693

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. TERRELL RICHARD JR. WALLACE (PA C)

207, Esplanade Drive, Warner Robins, Houston County, Georgia, 31088, United States
WARNER ROBINS, GA 31088
Phone: (478) 922-3061
Fax: (478) 953-5406
Type: Mailing
136, South Houston Lake Road, Warner Robins, Houston County, Georgia, 31088, United States
WARNER ROBINS, GA 31088
Phone: (478) 953-1020
Fax: (478) 953-5406
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31088)

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Provider's Procedures

MR. TERRELL RICHARD JR. WALLACE (PA C) performs procedures in Medical Physician Assistant. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
PHYSICIAN ASSISTANT	GA	11101	Biopsy of each additional growth of skin and/or tissue	45	34

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 8921096199View full group profile

Name	Specialty	State
WILLIAM CODY PALMER (NP-C)	Nurse Practitioner	GA
JAMIE BATTLE GIVENS (PA-C)	Physician Assistant	GA
WILLIAM E FREEMAN (M.D.)	Dermatology, Micrographic Dermatologic Surgery (Mds)	GA
MRS. KRISTIE ANN MCCANN (PA-C)	Physician Assistant	GA
MELISSA JOY PROBST (APRN)	Nurse Practitioner	GA

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Frequently asked questions

What is the standard ID for MR. TERRELL RICHARD JR. WALLACE (PA C) in the U.S.?

In the U.S., MR. TERRELL RICHARD JR. WALLACE (PA C) is identified by NPI 1356399828.

Should I treat MR. TERRELL RICHARD JR. WALLACE (PA C) as an active provider?

Patients and plans typically see MR. TERRELL RICHARD JR. WALLACE (PA C) as active in the national extract.

How should patients interpret MR. TERRELL RICHARD JR. WALLACE (PA C)'s specialty?

The extract shows Medical Physician Assistant for MR. TERRELL RICHARD JR. WALLACE (PA C). Clinical services aligned with this taxonomy classification.

Can patients visit MR. TERRELL RICHARD JR. WALLACE (PA C) in Warner Robins, Georgia?

For routing, start with Warner Robins, Georgia for MR. TERRELL RICHARD JR. WALLACE (PA C), then verify phone and hours locally.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.