Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Trevor J Wallace, PA-C

Physician Assistant in Oak Ridge, TN · enumerated 2017 · practices at Tennessee Orthopaedic Alliance PA.

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

National Provider Identifier

1396281200

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Registry record

Entity type Individual (Type 1)

Name Mr. Trevor J Wallace

Credential PA-C

Sex Male

Practice address 988 Oak Ridge Tpke Ste 100, Oak Ridge, TN, 37830

Phone (865) 690-4861

Fax (865) 483-4194

Enumeration date Jan 17, 2017

Last updated in NPPES Nov 19, 2024

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 8236 (GA) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 6270 (TN) Primary

Other identifiers

Identifier	Type	State	Issuer
003185899A	Medicaid	GA	-
003185899B	Medicaid	GA	-
003185899C	Medicaid	GA	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Trevor Wallace?

Trevor Wallace is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-11-19.