NPI age
11 years
Enumerated 2015-01-28
● Active
Type 1 · Individual
Katherine Marie Wallace, NP-C
Wallace is 1 of 14 nurse practitioner providers in Columbus and 1 of 806 in Georgia.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA, AL
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 806 active nurse practitioner providers in Georgia.
NPI age
11 years
≈ at median (11 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-01Enumerated in NPPES
2015
2026
Where they practice
Practice location
118 Enterprise Ct Ste B
Columbus, GA 319049228
Mailing address
2702 Betchet Lane
Opelika, AL 368016153
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003161276B |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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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.