OrganizationActive
Wallace F. Martin, M.D.
NPI 1124225065 · Surgery Physician · Lawrenceville, GA
Wallace F. Martin, M.D. is a Surgery Physician organization in Lawrenceville, GA (NPI 1124225065).
Provider details
- NPI number
- 1124225065
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wallace Martin, Owner(770) 962-9977
- License
- 026153 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
631 Professional Dr
Suite 300
Lawrenceville, GA 30046-3371
Phone: (770) 962-9977
Fax: (770) 339-9804
Street-level locationGet directions
Mailing address
631 Professional Drive
Lawrenceville, GA 30046-3371
Registry dates
- Enumerated
- 2007-07-02
- Last updated
- 2010-09-01
Frequently asked questions
- What is Wallace F. Martin, M.D.'s NPI number?
- Wallace F. Martin, M.D.'s National Provider Identifier (NPI) is 1124225065, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wallace F. Martin, M.D.?
- Wallace F. Martin, M.D. is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Wallace F. Martin, M.D. located?
- Wallace F. Martin, M.D.'s practice location on file with NPPES is 631 Professional Dr, Lawrenceville, GA 30046-3371.
- What is Wallace F. Martin, M.D.'s phone number?
- The practice phone number listed in the NPPES registry for Wallace F. Martin, M.D. is (770) 962-9977.
- Who is the authorized official for Wallace F. Martin, M.D.?
- The authorized official listed on Wallace F. Martin, M.D.'s NPPES record is Wallace Martin, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wallace F. Martin, M.D.'s NPI active?
- Yes — Wallace F. Martin, M.D.'s NPI (1124225065) is active in the NPPES registry as of the last update on 2010-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.