P Praxis·MD
● Active Type 1 · Individual

Edgar Wollam

Internal Medicine·Austell, GA· NPI 1316978166 · Enumerated 2006 · 19 years on NPI
Wollam is 1 of 13 internal medicine providers in Austell and 1 of 562 in Georgia.
NPI age
19 years
Enumerated 2006-07-06
Primary specialty
Internal Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-10-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 562 active internal medicine providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
1660 Mulkey Rd, Ste B
Austell, GA 30106
📞 6784602700fax 7707390212
Mailing address
1660 Mulkey Rd, Ste B
Austell, GA 30106
📞 6784602700fax 7707390212

Specialties

  • Internal Medicine Primary
    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.
    GA license #19436 taxonomy 207RN0300X

Identifiers

TypeValueNotes
05 (GA) 000146187C
01 (GA) 920632 AETNA
05 (GA) 000146187E
05 (GA) 0001416187H
05 (GA) 000146187F
01 (GA) 110059639 RR MEDICARE
05 (GA) 000146187B
05 (GA) 000146187D
01 (GA) 356860 BCBS
01 (GA) 581992673003 UHC
05 (GA) 000146187G
01 (GA) 03169 BCBS GROUP #

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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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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