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

Ray L Wallace Jr., PA

Individual provider Physician Assistant · NPI 1720014624

Ray L Wallace Jr., PA is a Physician Assistant in Savannah, Georgia. Qualified in 1977, 49 years ago. Practices with Chatham Orthopaedic Associates PA, a 54-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
49
Licensed in
GA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4425 Paulsen St
Savannah, GA 31405-3662
Phone: (912) 355-6615
Fax: (912) 351-0645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 St Josephs Candler Dr Fl 1, Pooler, GA 31322-9579 — (912) 355-6615

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 000935 (GA)

Record details

NPI number1720014624
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESFebruary 23, 2021
Certification dateFebruary 23, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice Chatham Orthopaedic Associates Pa — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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