MR. WALLACE MAXWELL GREEN PAC
NPI 1306979059
Psychiatry & Neurology - Neurology in Fayetteville, GA
NPI Status: Active since March 13, 2007
Contact Information
1275 HIGHWAY 54 W
STE.105
FAYETTEVILLE, GA
ZIP 30214
Phone: (770) 719-2965
Fax: (770) 719-2963
- Individual
- Male
- Psychiatry & Neurology
- Neurology
About WALLACE GREEN
This page provides the complete NPI Profile along with additional information for Wallace Green, a provider established in Fayetteville, Georgia with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1306979059 assigned on March 2007. The practitioner's primary taxonomy code is 2084N0400X with license number 001827 (GA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1306979059
- Provider Name
- MR. WALLACE MAXWELL GREEN PAC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1275 HIGHWAY 54 W STE.105 FAYETTEVILLE, GA 30214
- Location Phone
- (770) 719-2965
- Location Fax
- (770) 719-2963
- Mailing Address
- 1275 HIGHWAY 54 W STE.105 FAYETTEVILLE, GA 30214
- Mailing Phone
- (770) 719-2965
- Mailing Fax
- (770) 719-2963
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-13-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 001827
- License State
- GA
- Taxonomy Description
- A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Assessment of emotional or behavioral problems
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
This service was performed 31 times for 16 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 58 times for 57 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 12 times for 12 patientsReviews for MR. WALLACE MAXWELL GREEN PAC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 0 | 6 | 9 | 7 | 9 | 0 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 0 | 6 | 18 | 7 | 18 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 0 + 6 + 1 + 8 + 7 + 1 + 8 + 0 + 1 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1306979059 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1619962503 | P E T IMAGING OF FAYETTE LLC Organization | Radiology (Diagnostic Radiology) | 1275 HIGHWAY 54 W STE 102 FAYETTEVILLE, GA 30214 (770) 719-3754 |
| 1629046768 | MARTHA A SCHUH M.D. Individual | Specialist | 1275 HIGHWAY 54 W SUITE 201 FAYETTEVILLE, GA 30214 (770) 461-3776 |
| 1144254004 | J. RENA OWSLEY-BROWN DMD Individual | Dentist (General Practice) | 1275 HIGHWAY 54 W SUITE 204 FAYETTEVILLE, GA 30214 (770) 461-5500 |
| 1801906474 | LESLIE ROSENBLATT-BROWN PA-C Individual | Physician Assistant | 1275 HIGHWAY 54 W SUITE 201 FAYETTEVILLE, GA 30214 (770) 461-3776 |
| 1811084759 | ATLANTA METRO UROLOGY CLINICS PC Organization | Urology | 1275 HIGHWAY 54 W SUITE 205 FAYETTEVILLE, GA 30214 (770) 716-9656 |
| 1285784819 | MS. SHANNON WILLIAMS ALEXANDER OTR L Individual | Occupational Therapist | 1275 HIGHWAY 54 W STE 200 FAYETTEVILLE, GA 30214 (770) 460-8609 |
| 1306035126 | MARTHA A SCHUH, MD Organization | Specialist | 1275 HIGHWAY 54 W SUITE 201 FAYETTEVILLE, GA 30214 (770) 461-3776 |
| 1841460912 | ATLANTA SOUTH PHYSICAL THERAPY, INC Organization | Physical Therapist | 1275 HIGHWAY 54 W SUITE 202 FAYETTEVILLE, GA 30214 (770) 460-8609 |
| 1801068754 | J. RENA OWSLEY-BROWN Organization | Dentist (General Practice) | 1275 HIGHWAY 54 W SUITE 204 FAYETTEVILLE, GA 30214 (770) 461-5500 |
| 1982877197 | SLEEP SERVICES OF AMERICA Organization | Clinical Medical Laboratory | 1275 HIGHWAY 54 W SUITE 203 FAYETTEVILLE, GA 30214 (404) 892-0308 |
| 1447402086 | MR. JOHN W SIMS N.P. Individual | Nurse Practitioner | 1275 HIGHWAY 54 W SUITE 200 FAYETTEVILLE, GA 30214 (770) 461-3776 |
| 1881932010 | GEORGIA UROLOGY PA Organization | Urology (Pediatric Urology) | 1275 HIGHWAY 54 W SUITE 205 FAYETTEVILLE, GA 30214 (770) 716-9656 |
| 1982838561 | ANTHONY JOSEPH BRAIM PT, MPT Individual | Physical Therapist | 1275 HIGHWAY 54 W STE 200 FAYETTEVILLE, GA 30214 (770) 460-8609 |
| 1952843013 | WILLIAM MATTHEW MOWERY PTA Individual | Physical Therapy Assistant | 1275 HIGHWAY 54 W STE 200 FAYETTEVILLE, GA 30214 (770) 460-8609 |
| 1467888560 | DANIEL JOHN VOIGHT PT Individual | Physical Therapist | 1275 HIGHWAY 54 W STE 200 FAYETTEVILLE, GA 30214 (770) 460-8609 |
| 1609283225 | MATTHEW WATSON PT Individual | Physical Therapist | 1275 HIGHWAY 54 W STE 200 FAYETTEVILLE, GA 30214 (770) 460-8609 |
| 1457686917 | AARON H HONEYCUTT PT, DPT Individual | Physical Therapist | 1275 HIGHWAY 54 W SUITE 200 FAYETTEVILLE, GA 30214 (770) 460-8609 |
| 1013311224 | DRAYTON THOMAS PERKINS PT, DPT Individual | Physical Therapist | 1275 HIGHWAY 54 W STE 200 FAYETTEVILLE, GA 30214 (770) 460-8609 |
| 1609844158 | DAVID MIKEL RICHARDSON ATC Individual | Specialist/Technologist (Athletic Trainer) | 1275 HIGHWAY 54 W SUITE 201 FAYETTEVILLE, GA 30214 (770) 461-1238 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306979059, enumerated in the NPI registry as an "individual" on March 13, 2007
The provider is located at 1275 Highway 54 W Ste.105 Fayetteville, Ga 30214 and the phone number is (770) 719-2965
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology
The most common procedures or services performed by this practitioner are: Assessment of emotional or behavioral problems, Established patient office or other outpatient visit, 20-29 minutes and Established patient office or other outpatient visit, 30-39 minutes.
This NPI record was last updated on March 13, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.