Doctor profile · Federal record
Dr. Marysa Wallace, AGNP-C
Nurse Practitioner · Fayetteville, GA
- NPI 1932989357
- Accepts Medicare
- 10 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
132 Old Norton RD Ste 200
Fayetteville, GA 302154873
(678) 817-1117
fax (678) 817-0823 - Mailing address
-
1835 Savoy Dr Ste 203
Atlanta, GA 303411073
Credentials & registration
- NPI registered
- October 2023 — 3 yrs on file
- Profile last updated
- August 14, 2024
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Georgia #RN259981
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1932989357. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$1,794
Transactions
35
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Daiichi Sankyo Inc. | 4 | $255.39 | |
| Janssen Biotech, Inc. | 4 | $205.83 | |
| AstraZeneca Pharmaceuticals LP | 4 | $163.73 | |
| ABBVIE INC. | 3 | $152.45 | |
| GlaxoSmithKline, LLC. | 2 | $130.88 | |
| Karyopharm Therapeutics Inc. | 1 | $124.19 | |
| Novartis Pharmaceuticals Corporation | 5 | $121.45 | |
| E.R. Squibb & Sons, L.L.C. | 1 | $110.41 | |
| Myriad Genetic Laboratories, Inc. | 1 | $85.35 | |
| Merck Sharp & Dohme LLC | 2 | $50.69 | |
| Genentech USA, Inc. | 2 | $42.99 | |
| Lilly USA, LLC | 2 | $40.68 | |
| Celgene Corporation | 2 | $30.87 | |
| GENZYME CORPORATION | 1 | $29.26 | |
| PFIZER INC. | 1 | $28.36 |
By nature of payment
Frequently asked questions
What is Dr. Marysa Wallace's medical specialty?
Dr. Marysa Wallace practices Nurse Practitioner in Fayetteville, GA.
Where does Dr. Marysa Wallace practice?
Dr. Marysa Wallace practices at 132 Old Norton RD Ste 200, Fayetteville, GA 302154873. Office phone: 6788171117.
What is Dr. Marysa Wallace's NPI?
Dr. Marysa Wallace's National Provider Identifier (NPI) is 1932989357, issued by NPPES.
Does Dr. Marysa Wallace accept Medicare assignment?
Yes. Dr. Marysa Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.