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Active NPI 1053856427 Individual Practitioner Female Practitioner

Heather E Wallace

Nurse Practitioner - Gerontology • Macon, GA

Professional Overview & Biography Verified Profile Summary

Heather Wallace is a registered healthcare professional specializing in Nurse Practitioner - Gerontology in Macon, GA. Practice services are available at 535 COLISEUM DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

535 Coliseum Dr

Macon, GA 312170104

Telephone 4789720277
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Macon, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.8 Yrs
State Avg: 6.9 Yrs
Regional Practice Density
17 Specialists

Practicing in Macon, GA (296 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License GA RN197918

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License GA RN197918

(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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Fraulein Kyzer , NP

Nurse Practitioner - Family

NPI 1265965644

Nurse Practitioner

Leandrea Lopez , ACNP

Nurse Practitioner

NPI 1407622038
Dr. Farhan Siddiqui , MD

Internal Medicine

NPI 1598754301

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 27, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 27, 2016

Registered at 535 COLISEUM DR, MACON, GA 312170104 (Tel: 4789720277)

📍
Updated Business Mailing Address December 27, 2016

Registered at PO BOX 26698, MACON, GA 312216698 (Tel: 4789720277)

👤
Provider Name / Credentials Updated December 27, 2016

Recorded as HEATHER WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2016

Nurse Practitioner (License #RN197918 in GA)

🟢
Initial NPI Registration & Enumeration December 21, 2016

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: 1053856427
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 21, 2016
Last Update: December 27, 2016
Sole Proprietor: No

Mailing Address

Po Box 26698

Macon, GA 312216698

Phone: 4789720277

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.