NPI age
12 years
Enumerated 2013-12-03
● Active
Type 1 · Individual
DR. Robert G. Wallace, M.D.
Wallace is 1 of 1 radiology providers in Fortson and 1 of 1280 in Georgia.
Primary specialty
Radiology
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-12-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1280 active radiology providers in Georgia.
NPI age
12 years
↓ 7 yr below median (19 yr)
State licenses
1 state
21% of peers hold multiple states
Subspecialties
2
In the 38% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-12Enumerated in NPPES
2013
2026
Where they practice
Practice location
1130 Goat Rock Road
Fortson, GA 31808
Mailing address
P.o. Box 2787
Columbus, GA 31902
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
-
RadiologyA radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
-
RadiologyA Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Provyx · Custom healthcare lists
Need all 1280 Radiology 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.