Terrell Richard Wallace, PA C
Medical Physician Assistant · Warner Robins, GA
Terrell Richard Wallace, PA C is a medical physician assistant with a practice address in Warner Robins, Georgia, and NPI 1356399828, issued on May 5, 2006. Check the license (Georgia 002665, as entered in NPPES) with the Georgia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Terrell Richard Wallace
- Credential
- PA C
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- 002665 GA
Self-reported in NPPES; status is on the state search - Practice location
- 136 South Houston Lake Road, Warner Robins, GA 31088
- Phone
- (478) 953-1020
- Enumerated
- May 5, 2006
- Record last updated
- Sep 18, 2012 (not updated in 14 years: call before relying on the address or phone)
- Fax
- (478) 953-5406
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 1,302 in Georgia → Look up another NPI →
Verify Terrell Richard Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license 002665Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Terrell Richard Wallace among 1,302 medical physician assistant records in Georgia
Terrell Richard Wallace, PA C is one of 1,302 medical physician assistant records with a practice address in Georgia. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 5% of them.
- NPI issued2006 · 5% of these records are older, 69% newer
- In a Medicare fileNo · 72% of these records are
- In the CMS Doctors and Clinicians fileNo · 53% of these records are
- Record last updated2012 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Medical Physician Assistant providers in Georgia
There are 1,302 medical physician assistant records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,302 in Georgia → Every provider in Warner Robins → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Deborah Bessinger, P.A.Warner Robins, GA 310881952490302
- Paul Dessart, PA-CWarner Robins, GA 310881669592093
- Jamie Givens, PA-CWarner Robins, GA 310881598027740
- Amanda Hale, PA-CWarner Robins, GA 310881235432519
- Lana Lott, PA-CWarner Robins, GA 310881629026117
- Samuel Muller, PAWrightsville, GA 310961558566711
- Jayvanita Hill-Moore, PA-CRobins Afb, GA 310981851429609
- Joy Lewis, PA-CRobins Afb, GA 310981679814800
Common questions
What is Terrell Richard Wallace, PA C's NPI number?
Terrell Richard Wallace, PA C's National Provider Identifier (NPI) is 1356399828, issued on May 5, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Terrell Richard Wallace, PA C located?
The NPPES record lists a practice address at 136 South Houston Lake Road, Warner Robins, GA, 31088. Phone: (478) 953-1020. Providers update this record themselves, so call before visiting.
How can I verify Terrell Richard Wallace, PA C's license?
NPPES lists Georgia license number 002665, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.