Terrell Wallace, PA C
NPI 1356399828 · Medical Physician Assistant · Warner Robins, GA
Terrell Wallace, PA C is a Medical Physician Assistant provider in Warner Robins, GA (NPI 1356399828).
Provider details
- NPI number
- 1356399828
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA C
- Sex
- Male
- Sole proprietor
- No
- License
- 002665 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-05-05
- Last updated
- 2012-09-18
Frequently asked questions
- What is Terrell Wallace's NPI number?
- Terrell Wallace's National Provider Identifier (NPI) is 1356399828, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Terrell Wallace's specialty?
- Terrell Wallace is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Terrell Wallace located?
- Terrell Wallace's practice location on file with NPPES is 136 South Houston Lake Road, Warner Robins, GA 31088.
- What is Terrell Wallace's phone number?
- The practice phone number listed in the NPPES registry for Terrell Wallace is (478) 953-1020.
- Is Terrell Wallace's NPI active?
- Yes — Terrell Wallace's NPI (1356399828) is active in the NPPES registry as of the last update on 2012-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.