DR. HEATHER MORGAN WALLACE MD
NPI 1336173574
Urology in Savannah, GA

Active since July 11, 2006PECOS Enrolled
230 E DERENNE AVE, SAVANNAH, GA 31405(912) 790-4000(912) 790-4407 Get Directions Write a Review

NPPES record last updated: January 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 21, 2016, Dec 17, 2015 (2 updates tracked since 2015).

About Dr. Heather Morgan Wallace Md NPPES

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

DR. HEATHER MORGAN WALLACE MD (NPI 1336173574) is an individual urology provider in Savannah, Georgia, licensed in Mississippi (18108) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336173574
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameDR. HEATHER MORGAN WALLACECredential: MD
Location Address230 E DERENNE AVESavannah, GA 31405-6736
Mailing AddressPo Box 14459Savannah, GA 31416-1459 · (912) 790-4000 · Fax (912) 790-4407
Fax(912) 790-4407
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateJanuary 21, 20162 updates tracked since enumeration
NPI 1336173574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MS · 18108
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

230 E DERENNE AVE, Savannah, GA 31405

Other Identifiers 4

Medicaid003131576DGA
Medicaid00857566MS
Medicare PIN202I346216GA
OtherP00462352MS · Rr Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Heather Morgan Wallace Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31405 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
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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 18

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

Urology
230 E DERENNE AVE
SAVANNAH, GA 31405
Urology
230 E DERENNE AVE
SAVANNAH, GA 31405
Clinic/Center (Ambulatory Surgical)
230 E DERENNE AVE
SAVANNAH, GA 31405
Urology
230 E DERENNE AVE
SAVANNAH, GA 31405
Urology
230 E DERENNE AVE
SAVANNAH, GA 31405
Urology
230 E DERENNE AVE
SAVANNAH, GA 31405
Urology
230 E DERENNE AVE
SAVANNAH, GA 31405
Physician Assistant
230 E DERENNE AVE
SAVANNAH, GA 31405

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 Heather Wallace's NPI number?

The NPI number for Heather Wallace is 1336173574. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Heather Wallace located?

Heather Wallace practices at 230 E Derenne Ave, Savannah, GA 31405. The listed phone number is (912) 790-4000.

What is Heather Wallace's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Heather Wallace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Heather Wallace was last updated on January 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.