MRS. SARA W WALLACE


Address: 950 Sanders Rd, Cumming, GA 30041-5960
Phone: 6782082446

MRS. SARA W WALLACE (NPI# 1114464310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114464310
Entity Type Individual
Full Name MRS. SARA W WALLACE
Credential NP-C
Practice Address 950 Sanders Rd
Cumming
GA 30041-5960
Mailing Address 1380 Upper Hembree Rd
Roswell
GA 30076-1146
Practice Telephone 6782082446
Practice Fax Number 7708871375
Mailing Telephone 7704752377
Mailing Fax Number 7704420193
Enumeration Date 2017-01-25
Last Update Date 2020-10-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN183641 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers SARA WALLACE

NPI Name Taxonomy Address Enumeration
1861804320 Sara Wallace Psychologist 6506 State Route 229, Marengo, OH 43334-9738 2014-06-02
1174899207 Sara Wallace Orthopaedic Surgery 5814 S Maryland Ave # Mc3079, Chicago, IL 60637 2012-03-22
1417278995 Sara Jane Wallace Social Worker 6407 Austinburg Rd, Ashtabula, OH 44004-9306 2010-06-18
1659460087 Sara A Wallace Chiropractor 17903 Roy St, Lansing, IL 60438-2327 2006-10-12
1750908174 Sara Davis Wallace Nurse Practitioner 600 E Palmetto St, Florence, SC 29506-2851 2020-07-01
1447895776 Sara Wallace Psychologist 11824 Ransum Dr, Louisville, KY 40243-2802 2019-11-11
1447764030 Sara Michelle Wallace Case Manager/Care Coordinator 1400 N Norma St Ste 133, Ridgecrest, CA 93555-2577 2017-11-19
1356576185 Sara Elizabeth Wallace Physical Therapist 1685 W 2200 S, Salt Lake City, UT 84119-1456 2009-05-22
1811142557 Sara N Wallace Social Worker 111 W 2nd St, Pratt, KS 67124-2644 2008-11-21
1619993334 Sara Jane Wallace Physician Assistant 1450 Chapel St, New Haven, CT 06511-4405 2006-07-14

Office Location

Street Address 950 SANDERS RD
City CUMMING
State GA
Zip Code 30041-5960

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881604767 Michael Lee Waller Internal Medicine 950 Sanders Rd, Cumming, GA 30041-5960 2006-08-09
1083933014 Chadwick Dean Taylor Chiropractor 950 Sanders Rd, Cumming, GA 30041-5960 2010-06-01
1548494180 Jennifer Dudek Cook Internal Medicine 950 Sanders Rd, Cumming, GA 30041-5960 2009-05-11
1982855284 Jana Lisa Robertson Audiologist 950 Sanders Rd, Cumming, GA 30041-5960 2008-10-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962036905 Annie Kyungjin Han Nurse Practitioner 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 2020-02-28
1295388197 Pamela Edler Pharmacist 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 2019-07-19
1720557127 Dr. Tiffany Lamonde LLC Physical Therapist 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 2018-11-15
1487140893 Bhbd LLC Chiropractor 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 2018-07-09
1891219861 Anna Gawrys Pharmacist 1525 Marketplace Blvd, Cumming, GA 30041 2017-08-01
1679029219 Square One Dental LLC Clinic/Center 3510 Rowe Lane, Cumming, GA 30041 2016-09-01
1720441454 Pavilion Psychological Services LLC Psychologist 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 2016-03-31
1346606506 American Health Imaging of Ga, LLC Clinic/Center 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 2016-01-04
1013311307 Stephen Hartle Physician Assistant 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 2014-10-15
1063828408 Stephanie Evans Wellborn Physician Assistant 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 2014-07-07
Find all providers in zip 30041

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881200293 Cherry Garcia Fernandez Nurse Practitioner 3325 Amhurst Ct, Cumming, GA 30041-7329 2020-09-21
1508359548 Anna Choi Nurse Practitioner 2575 Peachtree Pkwy Ste 301, Cumming, GA 30041-7563 2018-06-13
1497267132 Amisha Patel Nurse Practitioner 960 Sanders Rd Ste 700, Cumming, GA 30041-6058 2017-11-03
1275072886 Megan Kinney Nurse Practitioner 4730 Ansley Ln, Cumming, GA 30040-5260 2017-02-15
1700141470 Michael Douglas Scott Nurse Practitioner 308 Oakwood Dr, Cumming, GA 30040-2140 2012-07-09
1366053431 Jeri Wells Lloyd Nurse Practitioner 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 2020-08-12
1386277036 Alpana Bala Jayadevan Nurse Practitioner 3970 Deputy Bill Cantrell Memorial Road, Suite 203, Cumming, GA 30040 2020-02-20
1821632605 Charley Whitmire Nurse Practitioner 1400 Northside Forsyth Dr, Cumming, GA 30041-7668 2019-11-04
1003469677 Megan Irene Bueltel Nurse Practitioner 1400 Northside Forsyth Dr Ste 240, Cumming, GA 30041-6017 2019-07-22
1366942906 Laura Patricia Martinez Nurse Practitioner 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 2018-02-20
Find all providers in CUMMING

Competitor

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City CUMMING
Zip Code 30041

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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