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Provider Profile

Jacob Wallis

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Where to find Jacob Wallis

About Jacob Wallis

Jacob Wallis is a physician assistant practicing in Fayetteville, GA. This provider record is associated with NPI 1568118172.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2021

Specialty

Credentials & Licensing

TN licenceAs reported to the NPI registry
No. 4879As reported
NPINational Provider Identifier
1568118172Issued 2022

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outEnded June 2024
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Jacob Wallis specialize in?

Jacob Wallis is a physician assistant in Fayetteville, GA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Jacob Wallis located?

Jacob Wallis is listed at 104 N Park Dr, Fayetteville, GA 30214. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jacob Wallis's phone number?

The number on file is (470) 944-5290. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jacob Wallis's NPI number?

Jacob Wallis's National Provider Identifier is 1568118172. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jacob Wallis train?

Jacob Wallis attended Other, graduating in 2021. This comes from the CMS National Downloadable File.

CMS public data

How long has Jacob Wallis been practicing?

Jacob Wallis has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.

CMS public data

Has Jacob Wallis confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jacob Wallis. If this is you, claiming it is free.

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