Edgar Wollam, - Internal Medicine in Austell, GA

Edgar Wollam, is a Internal Medicine - Nephrology physician based in Austell, Georgia. Edgar Wollam is licensed to practice in Georgia (license number 19436) and his current practice location is 1660 Mulkey Rd, Ste B, Austell, Georgia. He can be reached at his office (for appointments etc.) via phone at (678) 460-2700.

NPI number for Edgar Wollam is 1316978166 and his current mailing address is 1660 Mulkey Rd, Ste B, Austell, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316978166.

Contact Information

Edgar Wollam,
1660 Mulkey Rd, Ste B,
Austell, GA 30106
(678) 460-2700
(770) 739-0212

Map and Direction




Physician's Profile

Full NameEdgar Wollam
GenderMale
SpecialityInternal Medicine - Nephrology
Location1660 Mulkey Rd, Austell, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1316978166
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 10/19/2011

Medical Identifiers

Medical identifiers for Edgar Wollam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316978166NPI-NPPES
000146187CMedicaidGA
920632OtherGAAETNA
000146187EMedicaidGA
0001416187HMedicaidGA
000146187FMedicaidGA
110059639OtherGARR MEDICARE
000146187BMedicaidGA
000146187DMedicaidGA
356860OtherGABCBS
581992673003OtherGAUHC
000146187GMedicaidGA
03169OtherGABCBS GROUP #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 19436 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edgar Wollam is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edgar Wollam,
1660 Mulkey Rd, Ste B,
Austell, GA 30106

Ph: (678) 460-2700
Edgar Wollam,
1660 Mulkey Rd, Ste B,
Austell, GA 30106

Ph: (678) 460-2700

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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