MEGAN WALLACE – NPI #1386181022
Nurse Practitioner

MEGAN WALLACE is a nurse practitioner located in STONE MOUNTAIN, GA. NPPES has assigned the NPI number 1386181022 to MEGAN WALLACE on January 19, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 363LF0000X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Family

The NPI profile was previously updated about 8 years ago on Mar 17, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEGAN WALLACE below.

NPI Profile for
MEGAN WALLACE

NPI Number
1386181022
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MEGAN WALLACE
Primary location
2240 W PARK PLACE BLVD STE A
STONE MOUNTAIN, GA 30087-3543
Phone: (770) 771-5222 Fax:
1 Other location(s):
1390 Montreal Rd
Suite 180
Tucker, GA 30084-8143
Phone: (404) 446-4600
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363LF0000X
- Nurse Practitioner / Family (Primary)		 GA RN231247

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.