Freda Wall, PA-C

ActiveIndividual ProviderPhysician Assistant
NPI issued: June 20, 2005

Quick Facts

NPI Number
1063417608
TypeIndividual
StatusActive
SpecialtyPhysician Assistant
Taxonomy363A00000X — Physician Assistant
Phone
(404) 350-0106
StateGA

NPI Validation Status: Verified

Valid 10-digit NPI number (1063417608)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 20, 2005)
Data source: CMS NPPES

Provider Overview

FREDA WALL, PA-C is a Physician Assistant provider based in Atlanta, GA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1063417608
Provider TypeIndividual Provider
GenderFemale
CredentialPA-C
StatusActive
Enumeration DateJune 20, 2005

Practice Location

CityAtlanta
StateGA
ZIP Code30309-1476
Phone(404) 350-0106

Specialties & Licenses

★ Primary
SpecialtyPhysician Assistant
Taxonomy Code363A00000X
License StateGA

Mailing Address

CityAtlanta
StateGA
ZIP Code30309-1476
Phone(404) 350-0106
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1063417608 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1063417608for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1063417608 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physician Assistant

Physician Assistants (PAs) practice medicine under the supervision of a licensed physician, conducting physical exams, diagnosing conditions, prescribing treatments, and assisting in surgeries.

📊
158,607
Physician Assistant Providers in the US

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People Also Ask

What is Freda Wall's NPI number?
Freda Wall's NPI number is 1063417608, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Freda Wall's NPI currently active?
Yes, Freda Wall's NPI status is Active as of the latest CMS NPPES database updates.
What does Freda Wall specialize in?
Freda Wall specializes in Physician Assistant. The healthcare taxonomy code associated with this specialty is 363A00000X.
Where does Freda Wall practice?
Freda Wall practices in Atlanta, GA 30309-1476.
When was Freda Wall's NPI issued?
Freda Wall's NPI was issued on June 20, 2005.
What is Freda Wall's provider type?
Freda Wall is registered as an Individual Provider under CMS NPI Type 1.