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ALEXIS NICOLE WALLACE MD
NPI 1245856822
Internal Medicine in 1120 15th St, GA

Active since June 19, 2020PECOS EnrolledAccepts Medicare Assignment
AUGUSTA UNIVERSITY MEDICAL CENTER, 1120 15TH ST, GA 30912(706) 721-2273 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 15, 2021, Jun 28, 2021, Jun 19, 2020 (3 updates tracked since 2020).

About Alexis Nicole Wallace Md NPPES

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

ALEXIS NICOLE WALLACE MD (NPI 1245856822) is an individual internal medicine provider in 1120 15th St, Georgia, licensed in Georgia (12864) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Piedmont Columbus Regional Midtown, and is a graduate of University Of South Carolina School Of Medicine (2020).

NPPES Registry Identity

NPI1245856822
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameALEXIS NICOLE WALLACECredential: MD
Location AddressAUGUSTA UNIVERSITY MEDICAL CENTER1120 15th St, GA 30912
Mailing AddressInternal Medicine Residency 1120 15th StAugusta, GA 30912-0001 · (706) 721-2273
Phone(706) 721-2273
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2020
Enumeration DateJune 19, 2020
Last NPPES UpdateDecember 15, 20213 updates tracked since enumeration
NPPES CertifiedDecember 13, 2021
✔ NPI 1245856822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in GA · 12864✔ Licensed in SC · LL84507
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
AUGUSTA UNIVERSITY MEDICAL CENTER, 1120 15th St, GA 30912
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexis Nicole Wallace Md 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 ID6002217619
PECOS Enrollment IDI20241002000699
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 Reassignments

3

Medicare enrollment records show Alexis Wallace reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Benning Hospitalist Services, LLC
184 mi
Hospitalist
100 FRIST CT
Columbus, GA 31909
  • Reassigned Medicare billing, Georgia enrollment
  • 165 clinicians in this Medicare group
NPI 1215442173 (706) 494-2100
Southeastern Hospitalist Services PC
184 mi
Hospitalist
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, Georgia enrollment
  • 105 clinicians in this Medicare group
NPI 1003280108 (843) 692-1000
Muscogee Hospitalist Services, LLC
187 mi
Hospitalist
710 CENTER ST
Columbus, GA 31901
  • Reassigned Medicare billing, Georgia enrollment
  • 163 clinicians in this Medicare group
NPI 1639681851 (706) 571-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
81 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
33 services33 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110064
Location710 Center StreetColumbus, GA 31901 · Muscogee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES

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

SAM NATLA
Psychiatry & Neurology (Neurology)
AUGUSTA UNIVERSITY MEDICAL CENTER
AUGUSTA, GA 30912
Richmond County (706) 721-8623

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 Alexis Wallace's NPI number?

The NPI number for Alexis Wallace is 1245856822. It was assigned to this individual provider in the NPPES registry on June 19, 2020.

Where is Alexis Wallace located?

Alexis Wallace practices at Augusta University Medical Center, 1120 15th St, GA 30912. The listed phone number is (706) 721-2273.

What is Alexis Wallace's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Alexis Wallace enrolled in Medicare?

Yes. Alexis Wallace 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.

Which organizations bill Medicare for Alexis Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Wallace reassigns Medicare benefits to 3 organizations: Benning Hospitalist Services, LLC (Columbus, GA), Southeastern Hospitalist Services PC (Myrtle Beach, SC) and Muscogee Hospitalist Services, LLC (Columbus, GA). Each 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 Alexis Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexis 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 Alexis 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.

Is Alexis Wallace affiliated with any hospitals?

According to CMS data, Alexis Wallace is affiliated with Piedmont Columbus Regional Midtown.

When was this NPI record last updated?

The NPPES record for Alexis Wallace was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.