Wallace Green, PAC
Neurology Physician · Fayetteville, GA
Wallace Green, PAC is a neurology physician with a practice address in Fayetteville, Georgia, and NPI 1306979059, issued on Mar 13, 2007. Check the license (Georgia 001827, as entered in NPPES) on the Georgia Composite Medical Board; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Wallace Green
- Credential
- PAC
- Primary taxonomy
- Neurology Physician 2084N0400X
- License number
- 001827 GA
Self-reported in NPPES; status is on the state search - Practice location
- 1275 Highway 54 W, Fayetteville, GA 30214
- Phone
- (770) 719-2965
- Enumerated
- Mar 13, 2007
- Entity
- Type 1 · individual
Also registered at 1275 Highway 54 W
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Shannon Alexander, OTR LOccupational Therapist1285784819
- Anthony Braim, PT, MPTPhysical Therapist1982838561
- Aaron Honeycutt, PT, DPTPhysical Therapist1457686917
- William Mowery, PTAPhysical Therapy Assistant1952843013
- J. Owsley-Brown, DMDGeneral Practice Dentistry1144254004
- Leslie Rosenblatt-Brown, PA-CPhysician Assistant1801906474
Verify Wallace Green in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 001827Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
Neurology Physician providers in Georgia
There are 504 neurology physician records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other neurology physician records in Georgia
- Matthew Abbott, MDAugusta, GA1417572959
- Temitope AdeyeyeDouglasville, GA1154785129
- Feroze Afzal, MDAthens, GA1598029423
- Matthew Agan, M.D.Marietta, GA1013250679
- Olanrewaju Agbe-Davies, MDGainesville, GA1639431059
- Ali Ahmad, MDFayetteville, GA1447879986
- Ghazal Ahmad, MDAugusta, GA1366019622
- Mohamed AhmedAugusta, GA1356233878
- Muhammad Ahmed, MBBSDalton, GA1952718124
- Jawaid Ahsan, MDRome, GA1578618815
Common questions
What is Wallace Green, PAC's NPI number?
Wallace Green, PAC's National Provider Identifier (NPI) is 1306979059, issued on Mar 13, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Wallace Green, PAC located?
The NPPES record lists a practice address at 1275 Highway 54 W, Fayetteville, GA, 30214. Phone: (770) 719-2965. Providers update this record themselves, so call before visiting.
How can I verify Wallace Green, PAC's license?
NPPES lists Georgia license number 001827, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.