Wallace Edwin Wilson, PA-C

  • Brookhaven, GA
  • Physician assistant
NPI1841279411
Medical group
1
State license
1
Year NPI issued
2006
Practice address
1575 Northeast NE Expy, Brookhaven, GA 30329
Practice phone
Call (404) 785-6000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Choa Hospital Based

Brookhaven, Georgia

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Wallace Edwin Wilson is a physician assistant in Brookhaven, Georgia

Wallace Wilson practices at Choa Hospital Based in Brookhaven, Georgia.

Wallace Wilson's NPI, 1841279411, was assigned on January 12, 2006. Wallace Wilson holds Georgia license 4053.

NPI and contact details
NPI enumeration date
January 12, 2006
NPI status
Active
Practice phone
(404) 785-6000
Professional email
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Personal email
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Mobile number
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Sex
Male

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Practice Data

Wallace Edwin Wilson practices at Choa Hospital Based in Brookhaven, Georgia

Wallace Wilson's primary practice is Choa Hospital Based, at 1575 Northeast NE Expy, Brookhaven, GA 30329 in Dekalb County. The practice phone is (404) 785-6000.

  • Choa Hospital Based
    1575 Northeast NE Expy, Brookhaven, GA 30329 · Dekalb CountyPhone(404) 785-6000

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Wallace Edwin Wilson is affiliated with 1 site of care and 1 medical group

Wallace Wilson's primary practice is Choa Hospital Based in Brookhaven, Georgia. The medical group on file is Children's Healthcare of Atlanta.

Choa Hospital BasedBrookhaven, GeorgiaPrimary
Children's Healthcare of AtlantaPediatrics group, Brookhaven, GA

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Wallace Edwin Wilson's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Wallace Wilson practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Choa Hospital BasedAvailable with a free account

Source: Dmand AI Technology Install Data

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Wallace Edwin Wilson is one of 3,653 physician assistants in Georgia

Physician assistant is Wallace Wilson's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Wallace Wilson is licensed in Georgia.

Specialties and state licenses

  • Physician assistant, GeorgiaPrimaryLicense 4053 · taxonomy 363A00000X

Physician assistants near Wallace Wilson

Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Wallace Edwin Wilson's patients have a median age of 11

Across all payers, Dmand AI patient panel data puts Wallace Wilson's median patient age at 11, with 42% women.

Wallace Wilson's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 11

Patient panel by sex, all payers

  • Women42%
  • Men58%

Source: Dmand AI Patient Panel Data

Sources for Wallace Edwin Wilson's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Wallace Edwin Wilson

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Wallace Edwin Wilson's NPI number?

Wallace Edwin Wilson's NPI number is 1841279411. It was assigned on January 12, 2006, and it is active in the NPI Registry.

What does Wallace Edwin Wilson specialize in?

Wallace Edwin Wilson is a physician assistant in Brookhaven, Georgia. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).

Where does Wallace Edwin Wilson practice?

Wallace Wilson practices at 1575 Northeast NE Expy, Brookhaven, GA 30329. Wallace Wilson's primary practice is Choa Hospital Based in Brookhaven, Georgia.

What is Wallace Edwin Wilson's office phone number?

The practice phone on file for Wallace Wilson is (404) 785-6000.

What is Wallace Edwin Wilson's medical license number?

Wallace Wilson holds Georgia license 4053.

What medical group is Wallace Edwin Wilson part of?

Wallace Wilson is linked to Children's Healthcare of Atlanta.

How long has Wallace Edwin Wilson been practicing?

Wallace Wilson's NPI was assigned in 2006.

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