HEATHER E WALLACE
NPI 1053856427
Nurse Practitioner - Gerontology in Macon, GA
About Heather E Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER E WALLACE (NPI 1053856427) is an individual gerontology provider in Macon, Georgia, licensed in Georgia (RN197918) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Heather E Wallace is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Heather Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Macon, GA 31210
- Reassigned Medicare billing, Georgia enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31217 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MACON, GA 31217
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Heather Wallace's NPI number?
The NPI number for Heather Wallace is 1053856427. It was assigned to this individual provider in the NPPES registry on December 21, 2016.
Where is Heather Wallace located?
Heather Wallace practices at 535 Coliseum Dr, Macon, GA 31217. The listed phone number is (478) 972-0277.
What is Heather Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Heather Wallace enrolled in Medicare?
Yes. Heather Wallace is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Heather Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Wallace reassigns Medicare benefits to Oconee Healthcare Center LLC (Macon, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Wallace accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Heather Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Heather Wallace was last updated on December 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Heather E Wallace · NPI 1053856427
Gerontology physician in Macon, Georgia. Individual provider, active in the CMS NPPES registry since December 21, 2016.
## Identity
- **NPI:** 1053856427 (Entity type: Individual)
- **Enumerated:** December 21, 2016
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** RN197918 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 535 COLISEUM DR, Macon, GA 31217-0104
- **Phone:** (478) 972-0277
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Oconee Healthcare Center LLC (NPI 1306904081, Macon, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 27, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1053856427) · Data from the CMS NPPES public registry.