Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Ryan C. Wallentine, PA-AA

Anesthesiologist Assistant in Macon, GA · enumerated 2011.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114209525

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Registry record

Entity type Individual (Type 1)

Name Mr. Ryan C. Wallentine

Credential PA-AA

Sex Male

Practice address 380 Hospital Dr, Suite 410, Macon, GA, 31217

Phone (478) 746-5644

Fax (478) 745-4849

Enumeration date Sep 12, 2011

Last updated in NPPES Jun 4, 2013

Taxonomy & licenses

367H00000X Anesthesiologist Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

367H00000X Anesthesiologist Assistant Physician Assistants & Advanced Practice Nursing Providers · License 006279 (GA) Primary

Other identifiers

Identifier	Type	State	Issuer
580628385	Other	GA	TRICARE
P01003812	Other	GA	RAILROAD MEDICARE
003114063C	Medicaid	GA	-
003114063D	Medicaid	GA	-
003114063B	Medicaid	GA	-
003114063A	Medicaid	GA	-
635417	Other	GA	WELLCARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Ryan Wallentine practice?

The practice location on file with NPPES is in Macon, GA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Ryan Wallentine?

The National Provider Identifier (NPI) for Ryan Wallentine is 1114209525, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Harvey Roddenberry Obstetrics & Gynecology Physician · Macon, GA NPI 1841286978 William Shirley Obstetrics & Gynecology Physician · Macon, GA NPI 1568458289 John Roddenberry Obstetrics & Gynecology Physician · Macon, GA NPI 1992791628 Lester Leggette Anesthesiologist Assistant · Macon, GA NPI 1871584417 Alpha Watson Pulmonary Disease Physician · Macon, GA NPI 1972584530 David Mckinney Anesthesiology Physician · Macon, GA NPI 1235110891 Angela Jenkins Certified Registered Nurse Anesthetist · Macon, GA NPI 1023098977 Tanya Williams Anesthesiologist Assistant · Macon, GA NPI 1598738502

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-06-04.