EDGAR WOLLAM – NPI #1316978166
Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
EDGAR WOLLAM is a physician located in AUSTELL, GA. NPPES has assigned the NPI number 1316978166 to EDGAR WOLLAM on July 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name GARY WOLLAM. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology
The NPI profile was previously updated about 15 years ago on Oct 19, 2011. 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 EDGAR WOLLAM below.
NPI Profile for
EDGAR WOLLAM
(about 20 years ago)
STE B
AUSTELL, GA 30106 Phone: (678) 460-2700 Fax: (770) 739-0212
Identifiers for EDGAR WOLLAM
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | AETNA | GA | 920632 |
| OTHER | BCBS | GA | 356860 |
| OTHER | BCBS GROUP # | GA | 03169 |
| OTHER | RR MEDICARE | GA | 110059639 |
| OTHER | UHC | GA | 581992673003 |
| MEDICAID | GA | 000146187B | |
| MEDICAID | GA | 000146187E | |
| MEDICAID | GA | 0001416187H | |
| MEDICAID | GA | 000146187C | |
| MEDICAID | GA | 000146187F | |
| MEDICAID | GA | 000146187D | |
| MEDICAID | GA | 000146187G |
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 |
|---|---|---|
| 207RN0300X - Internal Medicine / Nephrology (Primary) |
GA | 19436 |
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.