KATHERINE MARIE WALLACE NP-C NPI 1548650617

NPI Information

  • NPI: 1548650617
  • Provider Name: KATHERINE MARIE WALLACE, NP-C
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 118 ENTERPRISE CT STE B
    COLUMBUS, GA
    ZIP 31904
  • Phone: (706) 330-1389

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NPI Details

Katherine Marie Wallace, NP-C is an adult health nurse practitioner in Columbus, GA with 11 years of experience. Katherine Marie Wallace, NP-C NPI is 1548650617. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

118 ENTERPRISE CT STE B
COLUMBUS, GA
ZIP 31904-228
Phone: (706) 330-1389
Fax: (706) 330-1392

The NPI 1548650617 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg (HCPCS:J7320)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml (HCPCS:Q9965)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection of contrast for imaging of knee joint (HCPCS:27369)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose (HCPCS:J7321)
  • Injection of trigger points, 1-2 muscles (HCPCS:20552)
  • Injection of anesthetic agent and/or steroid into spine and pelvis nerve using imaging guidance (HCPCS:64451)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Injection into tendon or ligament (HCPCS:20550)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)

The enumeration date for this NPI number is 1/28/2015 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthA0714020ALABAMANo
2363LA2200XNurse PractitionerAdult HealthRN243697GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003161276BMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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