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RICHARD ALAN WALL II
NPI 1134093099
Nurse Practitioner in Macon, GA

Active since October 02, 2025PECOS EnrolledAccepts Medicare Assignment
350 HOSPITAL DR STE 230, MACON, GA 31217(478) 751-0332 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Richard Alan Wall Ii NPPES

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

RICHARD ALAN WALL II (NPI 1134093099) is an individual nurse practitioner in Macon, Georgia, licensed in Georgia (RN314437) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS, is affiliated with Coliseum Medical Centers, Llc, Dba, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1134093099
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameRICHARD ALAN WALL II
Location Address350 HOSPITAL DR STE 230Macon, GA 31217-3838
Mailing Address199 Tidwell RdBonaire, GA 31005-4172
Phone(478) 751-0332
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1134093099 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 · RN314437
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.
350 HOSPITAL DR STE 230, Macon, GA 31217
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Richard Alan Wall Ii is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365919792
PECOS Enrollment IDI20260423000847
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

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.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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 Richard Wall's NPI number?

The NPI number for Richard Wall is 1134093099. It was assigned to this individual provider in the NPPES registry on October 2, 2025.

Where is Richard Wall located?

Richard Wall practices at 350 Hospital Dr Ste 230, Macon, GA 31217. The listed phone number is (478) 751-0332.

What is Richard Wall's specialty?

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

Is Richard Wall enrolled in Medicare?

Yes. Richard Wall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Richard Wall affiliated with any hospitals?

According to CMS data, Richard Wall is affiliated with Coliseum Medical Centers, LLC, Dba.

When was this NPI record last updated?

The NPPES record for Richard Wall was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.