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Wallace Martin, MD
NPI 1487651386 · Surgery Physician · Lawrenceville, GA
Wallace Martin, MD is a Surgery Physician provider in Lawrenceville, GA (NPI 1487651386).
Provider details
- NPI number
- 1487651386
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 026153 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
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
631 Professional Drive
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
- 2005-07-07
- Last updated
- 2010-09-01
Frequently asked questions
- What is Wallace Martin's NPI number?
- Wallace Martin's National Provider Identifier (NPI) is 1487651386, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wallace Martin's specialty?
- Wallace Martin is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Wallace Martin located?
- Wallace Martin's practice location on file with NPPES is 631 Professional Drive, Lawrenceville, GA 30046-3371.
- What is Wallace Martin's phone number?
- The practice phone number listed in the NPPES registry for Wallace Martin is (770) 962-9977.
- Is Wallace Martin's NPI active?
- Yes — Wallace Martin's NPI (1487651386) 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.