WALLACE EDWIN WILSON (PA-C) – Physician Assistant, NPI 1841279411

WALLACE EDWIN WILSON (PA-C) is a healthcare provider. based in Atlanta, Georgia. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 4053 (GA). The NPI Number for WALLACE EDWIN WILSON (PA-C) is 1841279411

Main info

Male
Name
WALLACE EDWIN WILSON (PA-C)
NPI
1841279411
Phone
(404) 255-1933
Address
5445 MERIDIAN MARKS RD NE
Enumeration Date
12 January 2006
Last Update Date
6 June 2022

Contacts

Secure Messaging
choa@choa.gadirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for WALLACE EDWIN WILSON (PA-C)

  • 5445 MERIDIAN MARKS RD NE

    SUITE 250

    ATLANTA, GA 303424763

    Phone: (404) 255-1933

    Type: Mailing

  • 410 PEACHTREE PKWY STE 300

    CUMMING, GA 300417407

    Phone: (404) 255-1933

    Fax: (404) 785-2822

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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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)

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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 30342)

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Reviews

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Frequently asked questions

What number should I use to identify WALLACE EDWIN WILSON (PA-C) for billing?
Administrative and clinical systems typically use NPI 1841279411 for WALLACE EDWIN WILSON (PA-C).
Does the public listing show WALLACE EDWIN WILSON (PA-C) as active?
WALLACE EDWIN WILSON (PA-C)'s NPI record reflects an active status in NPPES.
What type of care does WALLACE EDWIN WILSON (PA-C) provide?
WALLACE EDWIN WILSON (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to WALLACE EDWIN WILSON (PA-C)?
WALLACE EDWIN WILSON (PA-C) shows a connection to Atlanta, Georgia in registry-derived data.
Who maintains WALLACE EDWIN WILSON (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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