NPI age
9 years
Enumerated 2016-12-21
● Active
Type 1 · Individual
Heather E Wallace
Wallace is 1 of 17 nurse practitioner providers in MacOn and 1 of 280 in Georgia.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-12-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 280 active nurse practitioner providers in Georgia.
NPI age
9 years
↑ 2 yr above median (7 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
1
In the 35% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-12Enumerated in NPPES
2016
2026
Where they practice
Practice location
535 Coliseum Dr
MacOn, GA 312170104
Mailing address
Po Box 26698
MacOn, GA 312216698
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse Practitioner(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...
Practice context
Part of a multi-provider practice. 20 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.