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TRACEY C WALLACE M.D.
NPI 1265475206
Family Medicine in Atlanta, GA

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
3525 PIEDMONT RD NE, BLDG 7-601, ATLANTA, GA 30305(770) 509-1025 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tracey C Wallace M.d. NPPES

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

TRACEY C WALLACE M.D. (NPI 1265475206) is an individual family medicine provider in Atlanta, Georgia, licensed in Georgia (042483) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Loma Linda University School Of Medicine (1993).

NPPES Registry Identity

NPI1265475206
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTRACEY C WALLACECredential: M.D.
Location Address3525 PIEDMONT RD NE, BLDG 7-601Atlanta, GA 30305-1578
Mailing Address1121 Johnson Ferry Rd, Suite 100Marietta, GA 30068-5425 · (770) 509-1025
Phone(770) 509-1025
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1993
Enumeration DateJune 14, 2006
Last NPPES UpdateFebruary 26, 2021
NPPES CertifiedFebruary 26, 2021
✔ NPI 1265475206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 042483
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3525 PIEDMONT RD NE, Atlanta, GA 30305
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Other Identifiers 1

Medicaid00777697AGA

Accepted Insurance

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

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

Tracey C Wallace M.d. 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 ID2769383892
PECOS Enrollment IDI20111026000845
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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
164 services131 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services60 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
65 services65 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
62 services61 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
42 services42 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
33 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30305 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier24 claims24 services$2.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

ELEANOR MCMICHAEL STEWART M.ED.
Counselor (Professional)
3525 PIEDMONT RD NE, PIEDMONT CENTER, BLDG. 8, SUITE 102
ATLANTA, GA 30305
Fulton County (404) 550-4210
DOROTHY AMELIA THOMAS
Counselor (Mental Health)
3525 PIEDMONT RD NE, BLDG 7, STE 408
ATLANTA, GA 30305
Fulton County (404) 357-8966
DR. MICHAEL WARREN BAIN MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3525 PIEDMONT RD NE, BLDG 6, SUITE 210
ATLANTA, GA 30305
Fulton County (404) 261-8291
DR. NANCY SINEATH RANK PHD
Counselor (Professional)
3525 PIEDMONT RD NE, BUILDING 8, SUITE 102
ATLANTA, GA 30305
Fulton County (404) 848-9948
BUCKHEAD MOHS SURGICAL CENTER LLC
Clinic/Center (Ambulatory Surgical)
3525 PIEDMONT RD NE, BUILDING 6, SUITE 220
ATLANTA, GA 30305
Fulton County (404) 446-3200
DR. CALE HILTON JACKSON D.M.D.
Dentist (General Practice)
3525 PIEDMONT RD NE, BLDG. 5, STE. 408
ATLANTA, GA 30305
Fulton County (404) 233-1102
NICOLE MARIE CASEY LPC
Counselor (Professional)
3525 PIEDMONT RD NE
ATLANTA, GA 30305
Fulton County (404) 624-6740
BRIAN D KATZ PAC
Physician Assistant (Medical)
3525 PIEDMONT RD NE, BLDG 7-601
ATLANTA, GA 30305
Fulton County (404) 842-5400

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 Tracey Wallace's NPI number?

The NPI number for Tracey Wallace is 1265475206. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Tracey Wallace located?

Tracey Wallace practices at 3525 Piedmont Rd NE Bldg 7-601, Atlanta, GA 30305. The listed phone number is (770) 509-1025.

What is Tracey Wallace's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tracey Wallace enrolled in Medicare?

Yes. Tracey 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.

What insurance does Tracey Wallace accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Tracey 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 Tracey Wallace affiliated with any hospitals?

According to CMS data, Tracey Wallace is affiliated with Wellstar Kennestone Regional Medical Center and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Tracey Wallace was last updated on February 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.