Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Trevor J Wallace, PA-C

Individual provider Physician Assistant · NPI 1396281200

Mr. Trevor J Wallace, PA-C is a Physician Assistant in Oak Ridge, Tennessee. Qualified in 2016, 10 years ago. Practices with Volunteer Healthcare Services, Inc, a 93-clinician group and accepts Medicare assignment. Licensed in Georgia and Tennessee.

Years since qualifying
10
Licensed in
GA, TN
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

988 Oak Ridge Tpke Ste 100
Oak Ridge, TN 37830-6919
Phone: (865) 690-4861
Fax: (865) 483-4194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6270 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 8236 (GA)

Record details

NPI number1396281200
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 17, 2017
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Volunteer Healthcare Services, Inc. — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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