P Praxis·MD
● Active Type 1 · Individual

Sonya Coutee Wallace, WHNP-BC

Nurse Practitioner·Smyrna, GA· NPI 1720640162 · Enumerated 2019 · 6 years on NPI
Wallace is 1 of 4 nurse practitioner providers in Smyrna and 1 of 393 in Georgia.
NPI age
6 years
Enumerated 2019-07-06
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-07-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 393 active nurse practitioner providers in Georgia.

NPI age
6 years
↓ 5 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-07Enumerated in NPPES
2019 2026

Where they practice

Practice location
3200 Highlands Pkwy Se Ste 420
Smyrna, GA 300825192
📞 6784241123
Mailing address
3239 Borogrove Way
Decatur, GA 300325980
📞 4042185475

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN163190 taxonomy 363LW0102X

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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