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Lucy-Bertha Wallang, PA-C

Physician Assistant in Snellville, GA · enumerated 2006.

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

National Provider Identifier

1538111539

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Registry record

Entity type Individual (Type 1)
Name Lucy-Bertha Wallang
Credential PA-C
Sex Female
Practice address 2675 Main St W, Snellville, GA, 30078
Phone (770) 866-5147
Enumeration date May 17, 2006
Last updated in NPPES Jun 6, 2024

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 58593 (CA) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 026102-01 (NY) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 9117305 (FL) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 200001685 (DC) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 124154 (IA) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 1131-23 (WI) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 004665 (GA) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 004665 (GA) Primary

Other identifiers

Identifier Type State Issuer
723874491A Medicaid GA -
11143 Other GA BLUE CROSS BLUE SHIELD
723874491B Medicaid GA -
01076922 Other GA AMERIGROUP
333656 Other GA WELLCARE
723874491 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.

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Frequently asked questions

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.
What specialty is Lucy-Bertha Wallang?
Lucy-Bertha Wallang 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.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-06-06.