P Praxis·MD
● Active Type 1 · Individual

MRS. Donna Van Bladel Wall, NP

Nurse Practitioner·Hiram, GA· NPI 1184603045 · Enumerated 2006 · 20 years on NPI
Wall is 1 of 12 nurse practitioner providers in Hiram and 1 of 3206 in Georgia.
NPI age
20 years
Enumerated 2006-01-10
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3206 active nurse practitioner providers in Georgia.

NPI age
20 years
↑ 12 yr above median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Practice location
144 Bill Carruth Pkwy Ste 3100
Hiram, GA 301413819
📞 6783631940fax 6785817110
Mailing address
531 Roselane St Nw Ste 710
Marietta, GA 300606975
📞 6783313297fax 6785817187

Specialties

  • Nurse Practitioner Primary
    (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...
    GA license #APRN-NP134321 taxonomy 363L00000X

Identifiers

TypeValueNotes
01 (GA) 1184603045 NPI NUMBER

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Hiram in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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