NPI age
9 years
Enumerated 2017-01-19
● Active
Type 1 · Individual
Megan Wallace
Wallace is 1 of 42 nurse practitioner providers in Stone Mountain and 1 of 8826 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-03-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 8826 active nurse practitioner providers in Georgia.
NPI age
9 years
↑ 2 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2017 → 2026
2017-01Enumerated in NPPES
2017
2026
Where they practice
Practice location
2240 W Park Place Blvd Ste A
Stone Mountain, GA 300873543
Mailing address
2240 W Park Place Blvd Ste A
Stone Mountain, GA 300873543
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1390 Montreal Rd, Suite 180
Tucker, GA 300848143
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.