NPI age
18 years
Enumerated 2007-07-02
● Active Type 2 · Organization
Wallace F. Martin, M.D.
Wallace F. Martin, M.D. is 1 of 1389 surgery organizations in Georgia.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Martin
Owner
Last NPPES update
2010-09-01
Source: monthly bulk 2026-05
How this organization compares
Across 1389 active surgery providers in Georgia.
NPI age
18 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-07Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
631 Professional Dr, Suite 300
Lawrenceville, GA 300463371
Mailing address
631 Professional Drive, Suite 300
Lawrenceville, GA 300463371
Authorized official
Wallace Ford Martin, M.D.
Owner
📞 7709629977
Individual providers at this organization
20 individual providers on file at this primary practice address.
- James Barnhill, MD Internal Medicine NPI 1750391736
- Michael Brockett, MD Physician Assistant NPI 1588835573
- Hiram Childs, PA-C Physician Assistant NPI 1902026651
- Ashley Croker, PA-C Physician Assistant NPI 1720212566
- Jill Danielson, N.P. Nurse Practitioner NPI 1396037057
- Patricia Eubank, PA Physician Assistant NPI 1881768927
- Rosalee Gobeille-Dormio, FNP Nurse Practitioner NPI 1043587264
- Yelitza Guzman, ACGNP-BC Nurse Practitioner NPI 1477116564
- Sarah Hayat, M.D. Internal Medicine NPI 1780865527
- Richard Heimbecker, P.A.-C Physician Assistant NPI 1124157441
- Rajesh Jasani, MD Internal Medicine NPI 1316922461
- Lawrence Kaplan, MD Internal Medicine NPI 1104800572
- Rebeca Klatt, NP-C Nurse Practitioner NPI 1093260564
- David Lantz, MD Internal Medicine NPI 1841209665
- Scott Linacre, PA-C Physician Assistant NPI 1295974566
- William McGann, MD Internal Medicine NPI 1699751925
- Jeffrey Nicholas, MD Surgery NPI 1942382445
- Kenneth Norris, P.A. Physician Assistant NPI 1205932175
- Vosudesh Pai Internal Medicine NPI 1164530051
- Susmita Rajanala, M.D. Internal Medicine NPI 1477612661
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | GRP1797 | MEDICARE GROUP# |
| 05 (GA) | 00301914A |
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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