NPI age
4 years
Enumerated 2021-06-02
● Active
Type 1 · Individual
Michael T Wallace, MD
Wallace is 1 of 13 emergency medicine providers in Fort Benning and 1 of 1991 in Georgia.
Primary specialty
Emergency Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-07-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1991 active emergency medicine providers in Georgia.
NPI age
4 years
↓ 13 yr below median (17 yr)
State licenses
1 state
20% of peers hold multiple states
Subspecialties
0
41% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-06Enumerated in NPPES
2021
2026
Where they practice
Practice location
6600 Van Aalst Blvd Bldg 9250
Fort Benning, GA 319052102
Mailing address
6600 Van Aalst Blvd Bldg 9250
Fort Moore, GA 319052102
Specialties
-
Emergency Medicine PrimaryAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
Practice context
Part of a multi-provider practice. 41 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 1991 Emergency Medicine providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- 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.