NPI age
18 years
Enumerated 2007-10-18
● Active
Type 1 · Individual
Cynthia R Wallace, C.N.M.
Wallace is 1 of 6 advanced practice midwife providers in Saint Marys and 1 of 546 in Georgia.
Primary specialty
Advanced Practice Midwife
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-02-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 546 active advanced practice midwife providers in Georgia.
NPI age
18 years
↑ 6 yr above median (12 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-10Enumerated in NPPES
2007
2026
Where they practice
Practice location
2060 Dan Proctor Dr, Suite 1200
Saint Marys, GA 315583894
Mailing address
2060 Dan Proctor Dr, Suite 1200
Saint Marys, GA 315583894
Specialties
-
Advanced Practice Midwife PrimaryAdvanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00668885A |
Practice context
Part of a multi-provider practice. 11 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.