Active NPI 1124087879 Individual Practitioner Female Practitioner

Stephanie R Wallace , NP

Nurse Practitioner • Athens, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stephanie Wallace, NP is a certified Nurse Practitioner practicing in Athens, GA. With approximately 29 years of clinical experience since completing medical education in 1997, Stephanie Wallace delivers high-quality medical care to the local community at 1230 BAXTER ST.

Stephanie Wallace maintains professional affiliations with Piedmont Athens Hospitalist Physicians Llc, St. Mary'S Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1230 Baxter St

Athens, GA 306063712

Telephone 7063892273

Fax 7063892298

Associated Practice Facility / Clinic

🏢 St. Mary's Health Care System, Inc. Facility NPI 1841299195

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Athens, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +17.7 yrs vs City Avg

City Avg: 11.3 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

63 Specialists

Practicing in Athens, GA (3149 Statewide)

Telehealth Adoption Rate

4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (29 Years) 29 Yrs

Athens Specialty Average (11.3 Years) 11.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	51	$145.00	$67.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	41	$409.00	$148.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	37	$276.00	$111.76
99497 Advance care planning, first 30 minutes	29	27	$168.00	$64.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	20	$210.00	$101.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	51	$146.46	$65.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	44	$421.82	$143.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	43	$276.00	$107.95
99497 Advance care planning, first 30 minutes	36	32	$168.00	$62.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	22	$210.00	$98.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	13	$79.00	$41.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	184	100	$355.00	$83.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	180	169	$691.00	$162.15
99497 Advance care planning, first 30 minutes	51	40	$271.00	$63.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	36	$249.00	$58.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	274	142	$355.00	$85.49
99497 Advance care planning, first 30 minutes	73	52	$271.00	$64.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	42	$249.00	$59.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$691.00	$165.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	131	74	$355.00	$88.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	103	65	$249.00	$61.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	88	81	$691.00	$171.53
99497 Advance care planning, first 30 minutes	74	54	$269.66	$66.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$468.00	$116.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	14	$135.00	$33.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99497 Advance care planning, first 30 minutes	14	13	$186.14	$67.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	53	39	$88.00	$38.04
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	23	23	$184.00	$77.90
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	21	18	$136.00	$59.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$141.00	$62.21
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	13	13	$261.00	$111.40
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	12	11	$179.00	$78.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	39	$141.00	$61.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	33	$76.00	$33.36
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	29	$203.00	$88.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$270.00	$116.30

Medical Specialties & State Licenses

CMS Verified: 2026-03-05

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN136273

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License GA RN136273

Definition to come...

Nurse Practitioner - Women's Health

NUCC Taxonomy Code: 363LW0102X

State License GA RN136279

Definition to come...

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License GA RN136273

Definition to come...

Hospital & Practice Group Affiliations

St. Mary's Medical Group, Inc.

1230 Baxter St, Athens, GA 306063712

Phone: 7063893000

Piedmont Athens Hospitalist Physicians Llc

1199 Prince Ave, Athens, GA 306062797

Phone: 7064755076

Secondary Practice Locations

1199 Prince Ave

Athens, GA 306062797

Phone: 7064755076

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners

Sheryl Newberry , NP

Nurse Practitioner - Adult Health

NPI 1053885871

Nurse Practitioner

Barbara Pruitt , APRN, FNP-C

Nurse Practitioner - Family

NPI 1063752012

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Angela Simmons-Butler , NP

Nurse Practitioner - Family

NPI 1124285432

Nurse Practitioner

Rachael Mcknight , NP

Nurse Practitioner

NPI 1215646591

Nurse Practitioner

Laura Moon , NP

Nurse Practitioner - Adult Health

NPI 1265906226

Nurse Practitioner

Julie Dicer , MS OTRL

Occupational Therapist

NPI 1386664878

MSOTRL

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2026

Nurse Practitioner (License #RN136273 in GA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2025

Nurse Practitioner (License #RN136273 in GA)

📍

Updated Practice Location January 15, 2024

Registered at 1230 BAXTER ST, ATHENS, GA 306063712 (Tel: 7063892273)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2024

Nurse Practitioner (License #RN136273 in GA)

📍

Updated Practice Location July 14, 2023

Registered at 1199 PRINCE AVE, ATHENS, GA 306062797 (Tel: 7064755076)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2023

Nurse Practitioner (License #RN136273 in GA)

📍

Updated Practice Location January 24, 2023

Registered at 1230 BAXTER ST, ATHENS, GA 306063712 (Tel: 7063892273)

📍

Updated Business Mailing Address January 24, 2023

Registered at PO BOX 48089, ATHENS, GA 306048089 (Tel: 7063893740)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2023

Nurse Practitioner (License #RN136273 in GA)

📍

Updated Business Mailing Address June 13, 2018

Registered at 2727 PACES FERRY ROAD, SUITE 1-1100 (ATTENTION DENISE), ATLANTA, GA 30339 (Tel: 4702713412)

✅

NPI Profile Active August 27, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 27, 2013

Registered at 1365 CLIFTON RD NE, BUILDING A 4TH FLOOR, ATLANTA, GA 303221013 (Tel: 4047785413)

📍

Updated Business Mailing Address August 27, 2013

Registered at 1365 CLIFTON RD NE, BUILDING A 4TH FLOOR, ATLANTA, GA 303221013 (Tel: 4047785413)

👤

Provider Name / Credentials Updated August 27, 2013

Recorded as STEPHANIE WALLACE, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2013

Nurse Practitioner (License #RN136273 in GA)

🟢

Initial NPI Registration & Enumeration March 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124087879

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 21, 2006

Last Update: March 05, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 48089

Athens, GA 306048089

Phone: 7063893740

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.