P Praxis·MD
● Active Type 1 · Individual

DR. Kristen Koenig Wallin, M.D.

Family Medicine·Fort Moore, GA· NPI 1376770677 · Enumerated 2009 · 16 years on NPI
Wallin is 1 of 11 family medicine providers in Fort Moore and 1 of 5448 in Georgia.
NPI age
16 years
Enumerated 2009-06-15
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-02-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
16 years
≈ at median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-06Enumerated in NPPES
2009 2026

Where they practice

Practice location
6600 Van Aalst Blvd
Fort Moore, GA 319052102
📞 7624082655
Mailing address
6600 Van Aalst Blvd
Fort Moore, GA 319052102
📞 7624082655

Additional practice locations

1 secondary location on file with NPPES.

Location 2
101 Pilgrim Village Dr Ste 400
Cumming, GA 300402595
📞 7704414824

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #85671 taxonomy 207Q00000X

Practice context

Part of a multi-provider practice. 115 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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