Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Ray L Wallace Jr., PA
Physician Assistant in Savannah, GA · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1720014624
See something wrong? Report a correction
Registry record
Entity type Individual (Type 1)
Name Ray L Wallace Jr.
Credential PA
Sex Male
Practice address 4425 Paulsen St, Savannah, GA, 31405
Phone (912) 355-6615
Fax (912) 351-0645
Enumeration date Jun 23, 2006
Last updated in NPPES Feb 23, 2021
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 000935 (GA) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203066747B | Medicaid | GA | - |
| 203066747A | 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.
Frequently asked questions
What is the NPI number for Ray Wallace?
The National Provider Identifier (NPI) for Ray Wallace is 1720014624, a Type 1 (individual) record in the CMS NPPES registry.
Where does Ray Wallace practice?
The practice location on file with NPPES is in Savannah, GA. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all → Cynthia Morgan-Bennett Physical Therapist · Savannah, GA NPI 1407836166 Robert Hoffman Orthopaedic Surgery Physician · Savannah, GA NPI 1558325241 Daniel Vacala Physician Assistant · Savannah, GA NPI 1871543819 Clara Valoze Physical Therapist · Savannah, GA NPI 1235189168 Mary Vacala Physician Assistant · Savannah, GA NPI 1255381950 Emmakatherine Mcintosh Physician Assistant · Savannah, GA NPI 1124079298 Derek Johnson Physical Therapist · Savannah, GA NPI 1922059872 Mark Jenkins Orthopaedic Surgery Physician · Savannah, GA NPI 1861443665
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-02-23.