Ryan Mark Wade, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN207094 Issued in GA

Practice address

723 Industrial Park Dr
Evans, GA 30809-4352

Phone

(706) 810-9128

NPI assigned

Apr 21, 2025

Last updated

Aug 18, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1831986249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 AUSTELL RD SW STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300085796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 INDUSTRIAL PARK DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094352",
            "telephone_number": "706-810-9128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "690 Cobblestone Creek Ln",
            "address_purpose": "LOCATION",
            "city": "Mableton",
            "state": "GA",
            "postal_code": "301262661",
            "country_code": "US",
            "telephone_number": "912-314-3302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "RYAN",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-21",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN207094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Evans, GA
• Providers in Evans, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.