WALLACE FORD MARTIN (MD) – Surgery Physician, NPI 1487651386

WALLACE FORD MARTIN (MD) is a healthcare provider. based in Lawrenceville, Georgia. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. 026153 (GA). The NPI Number for WALLACE FORD MARTIN (MD) is 1487651386

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
WALLACE FORD MARTIN (MD)
NPI
1487651386
Phone
(770) 962-9977
Address
631 PROFESSIONAL DRIVE
Enumeration Date
7 July 2005
Last Update Date
1 September 2010

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7709629977
Graduation Year
1979 (47 years ago)
PAC ID
1850486630
Group Practice PAC ID
7113258674
Professional Enrollment ID
I20101201000080
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 WALLACE FORD MARTIN (MD)

  • 631, Professional Drive, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    SUITE 300

    LAWRENCEVILLE, GA 300463371

    Phone: (770) 962-9977

    Fax: (770) 339-9804

    Mailing address matches the actual address.

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 30046)

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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: 7113258674View full group profile
NameSpecialtyState
Physician AssistantNC
Nurse PractitionerNY
General SurgeryGA
-GA

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Frequently asked questions

What NPI should I save for WALLACE FORD MARTIN (MD)?
Save NPI 1487651386 if you need a stable reference for WALLACE FORD MARTIN (MD).
Is WALLACE FORD MARTIN (MD)'s NPI currently valid?
The extract we use shows WALLACE FORD MARTIN (MD) as active.
What kind of provider is WALLACE FORD MARTIN (MD)?
The page reflects Surgery Physician for WALLACE FORD MARTIN (MD). Clinical services aligned with this taxonomy classification.
Does WALLACE FORD MARTIN (MD) practice in Georgia?
You will see Lawrenceville, Georgia on file for WALLACE FORD MARTIN (MD) alongside any extra practice locations.
Is WALLACE FORD MARTIN (MD) a real provider?
This page reflects official NPPES data for NPI 1487651386. Always confirm identity and privileges with the practice and licensing boards.

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