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MRS. SARA W WALLACE NP-C
NPI 1114464310
Nurse Practitioner in Cumming, GA

Active since January 25, 2017PECOS Enrolled
950 SANDERS RD, CUMMING, GA 30041(678) 208-2446(770) 887-1375 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2020, Jan 25, 2017 (2 updates tracked since 2017).

About Mrs. Sara W Wallace Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SARA W WALLACE NP-C (NPI 1114464310) is an individual nurse practitioner in Cumming, Georgia, licensed in Georgia (RN183641) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114464310
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. SARA W WALLACECredential: NP-C
Location Address950 SANDERS RDCumming, GA 30041-5960
Mailing Address1380 Upper Hembree RdRoswell, GA 30076-1146 · (770) 475-2377 · Fax (770) 442-0193
Phone(678) 208-2446
Fax(770) 887-1375
Sole ProprietorNo
Enumeration DateJanuary 25, 2017
Last NPPES UpdateOctober 6, 20202 updates tracked since enumeration
NPPES CertifiedOctober 6, 2020
✔ NPI 1114464310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN183641
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
950 SANDERS RD, Cumming, GA 30041
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Sara W Wallace Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sara Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alpharetta Internal Medicine Associates, PC
14 mi
Primary Care
1380 UPPER HEMBREE RD
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 7 clinicians in this Medicare group
NPI 1770799702 (770) 442-9016

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 30041 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRERNA SATYANARAYANA M.D.
Internal Medicine
950 SANDERS RD
CUMMING, GA 30041
Forsyth County (770) 475-2377
JENNIFER DUDEK COOK MD
Internal Medicine
950 SANDERS RD
CUMMING, GA 30041
Forsyth County (770) 475-2377
DR. MICHAEL LEE WALLER MD
Internal Medicine (Cardiovascular Disease)
950 SANDERS RD
CUMMING, GA 30041
Forsyth County (770) 889-5030

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 Sara Wallace's NPI number?

The NPI number for Sara Wallace is 1114464310. It was assigned to this individual provider in the NPPES registry on January 25, 2017.

Where is Sara Wallace located?

Sara Wallace practices at 950 Sanders Rd, Cumming, GA 30041. The listed phone number is (678) 208-2446.

What is Sara Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sara Wallace enrolled in Medicare?

Yes. Sara Wallace is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sara Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Wallace reassigns Medicare benefits to Alpharetta Internal Medicine Associates, PC (Roswell, 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 Sara Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sara Wallace was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.