P Praxis·MD
● Active Type 1 · Individual

Catherine Wallace, MD

General Practice·Dallas, GA· NPI 1154946606 · Enumerated 2020 · 5 years on NPI
Wallace is 1 of 3 general practice providers in Dallas and 1 of 661 in Georgia.
NPI age
5 years
Enumerated 2020-06-10
Primary specialty
General Practice
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-05-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 661 active general practice providers in Georgia.

NPI age
5 years
↓ 9 yr below median (14 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-06Enumerated in NPPES
2020 2026

Where they practice

Practice location
243 Merchants Dr
Dallas, GA 301324700
📞 7702309967fax 7704455860
Mailing address
243 Merchants Dr Ste A
Dallas, GA 301324749
📞 4045434506

Specialties

  • General Practice Primary
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    GA license #94669 taxonomy 208D00000X

Identifiers

TypeValueNotes
01 (GA) 8101560001 DME MAC JURISDICTION C

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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