DR. MICHAEL ROBERT WALLACE DPM
NPI 1295828416
Podiatrist - Foot & Ankle Surgery in Valdosta, GA

Q: What is Michael Wallace's NPI number?

The NPI number for Michael Wallace is 1295828416. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Michael Wallace's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Michael Wallace was last updated on September 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment

2800 N OAK ST, VALDOSTA, GA 31602(229) 244-1211(229) 244-2721 Get Directions Write a Review

NPPES record last updated: September 18, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Michael Robert Wallace Dpm NPPES

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

DR. MICHAEL ROBERT WALLACE DPM (NPI 1295828416) is an individual foot & ankle surgery provider in Valdosta, Georgia, licensed in Georgia (599) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1295828416

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. MICHAEL ROBERT WALLACECredential: DPM

Location Address2800 N OAK STValdosta, GA 31602-1716

Mailing Address2800 N Oak StValdosta, GA 31602-1716 · (229) 244-1211 · Fax (229) 244-2721

Phone(229) 244-1211

Fax(229) 244-2721

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateOctober 2, 2006

Last NPPES UpdateSeptember 18, 2013

✔ NPI 1295828416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in GA · 599

2800 N OAK ST, Valdosta, GA 31602

Open in Google Maps ↗

Other Identifiers 3

Medicaid000480029131GA

Medicare ID-Type Unspecified48SCBBNGA

Medicare UPINT92706

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Robert Wallace Dpm 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 ID3870747488

PECOS Enrollment IDI20130211000413

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

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

Valdosta Foot & Ankle Clinic, P.C.

Same address

Foot & Ankle Surgery

2800 N OAK ST
Valdosta, GA 31602

Reassigned Medicare billing, Georgia enrollment
2 clinicians in this Medicare group

NPI 1699975375 (229) 244-1211

Valdosta Foot & Ankle Surgery Center, P.C.

Same address

Ambulatory Surgical

2800 N OAK ST
Valdosta, GA 31602

Reassigned Medicare billing, Georgia enrollment
2 clinicians in this Medicare group

NPI 1912196494 (229) 244-1211

Sgmc Physician Network Inc

0.6 mi

Multi-Specialty

2501 N PATTERSON ST
Valdosta, GA 31602

Reassigned Medicare billing, Georgia enrollment
183 clinicians in this Medicare group

NPI 1417597170 (229) 433-1997

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 12

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.

565 services255 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

510 services171 patients

Trimming of fingernails or toenails 11719

Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.

493 services188 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.

337 services169 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

166 services166 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

160 services52 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

101 services65 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

82 services30 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

71 services30 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

67 services50 patients

Removal of noncancer thickened skin growth, more than 4 growths 11057

This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.

57 services13 patients

Permanent removal fingernail or toenail 11750

Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.

18 services16 patients

Hospital Affiliations CMS Care Compare

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

Sgmc Health

Acute Care Hospitals · Valdosta, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110122

Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County

Emergency services Birthing friendly

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.

VALDOSTA FOOT & ANKLE CLINIC, P.C.

Podiatrist (Foot & Ankle Surgery)

2800 N OAK ST
VALDOSTA, GA 31602

Lowndes County (229) 244-1211

DR. DEVIN LEE DAUGHERTY DPM

Podiatrist (Foot & Ankle Surgery)

2800 N OAK ST
VALDOSTA, GA 31602

Lowndes County (229) 244-1211

VALDOSTA FOOT & ANKLE SURGERY CENTER, P.C.

Clinic/Center (Ambulatory Surgical)

2800 N OAK ST
VALDOSTA, GA 31602

Lowndes County (229) 244-1211

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 Michael Wallace's NPI number?

The NPI number for Michael Wallace is 1295828416. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Michael Wallace located?

Michael Wallace practices at 2800 N Oak St, Valdosta, GA 31602. The listed phone number is (229) 244-1211.

What is Michael Wallace's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Michael Wallace enrolled in Medicare?

Yes. Michael 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 Michael Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Wallace reassigns Medicare benefits to 3 organizations: Valdosta Foot & Ankle Clinic, P.C. (Valdosta, GA), Valdosta Foot & Ankle Surgery Center, P.C. (Valdosta, GA) and Sgmc Physician Network Inc (Valdosta, 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 Michael Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Wallace accept?

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

According to CMS data, Michael Wallace is affiliated with Sgmc Health.

When was this NPI record last updated?

The NPPES record for Michael Wallace was last updated on September 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.