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Erin Blair Wallis , CSC

Physician • Cumming, GA

Active NPI 1649869223 Individual Practitioner Female Practitioner
Practice location in NPPES

4355 Browns Bridge Rd
Cumming, GA 300414554

Call 7707715050 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4355 Browns Bridge Rd

Cumming, GA 300414554

Telephone 7707715050
Fax 7707715051
Organization at the Same NPPES Address or Phone
Ng Medical Group, P.c. Facility NPI 1649536749

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-01-18
Community/Behavioral Health Primary Specialty

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Amanda Cleghorne , NP

Nurse Practitioner - Primary Care

NPI 1104277474

Nurse Practitioner

James Cleveland , FNP

Nurse Practitioner - Family

NPI 1942895321

Family Nurse Practitioner

Hannah Dunn , FNP

Nurse Practitioner - Family

NPI 1548006612

Family Nurse Practitioner

Heather Fry , NP-C

Nurse Practitioner - Family

NPI 1245768266

Nurse Practitioner (Certified)

NPI 1922260066

Doctor of Medicine (M.D.)

Esther Russell , FNP-C

Nurse Practitioner - Family

NPI 1811376098

Family Nurse Practitioner (Certified)

Career & Practice History

NPI enumerated January 18, 2021.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from February 2021 to August 2026.

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NPI Administrative Meta

NPI Number: 1649869223
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2021
Last Update: January 18, 2021
Sole Proprietor: Yes

Mailing Address

4910 Dahlonega Hwy

Cumming, GA 300285583

Phone: 6782832011

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.