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DR. KRISTEN KOENIG WALLIN M.D.
NPI 1376770677
Family Medicine in Fort Moore, GA

Active since June 15, 2009PECOS Enrolled
6600 VAN AALST BLVD, FORT MOORE, GA 31905(762) 408-2655 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2025, Nov 8, 2019 (2 updates tracked since 2019).

About Dr. Kristen Koenig Wallin M.d. NPPES

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

DR. KRISTEN KOENIG WALLIN M.D. (NPI 1376770677) is an individual family medicine provider in Fort Moore, Georgia, licensed in Georgia (85671) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cumming.

NPPES Registry Identity

NPI1376770677
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KRISTEN KOENIG WALLINCredential: M.D.
Location Address6600 VAN AALST BLVDFort Moore, GA 31905-2102
Mailing Address6600 Van Aalst BlvdFort Moore, GA 31905-2102 · (762) 408-2655
Phone(762) 408-2655
Sole ProprietorNo
Enumeration DateJune 15, 2009
Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1376770677 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 · 85671
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.
6600 VAN AALST BLVD, Fort Moore, GA 31905
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Other Names 1

Former Name (1)Dr. Kristen Elizabeth Koenig Md

Secondary Practice Location 1

Location 1101 Pilgrim Village Dr Ste 400Cumming, GA 30040-2595 · Phone (770) 441-4824

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. Kristen Koenig Wallin M.d. 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 31905 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.

Other Providers at the Same Location NPPES 20

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

DR. DAVID SORENSEN MD
Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-0374
DR. THOMAS ALEXANDER O'HARA DO
Surgery
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (624) 083-6697
DR. JOSHUA ALLEN WILSON MD
Hospitalist
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-2273
ERIC HENDERSON
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-3107
DR. STEVEN ELIOT REISSMAN D.O.
Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (706) 544-3218
DR. ANTONIO ZIHERL D.O.
Emergency Medicine
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-2604
DR. BROOKE KAHL CRNA
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-3230
DR. CHARLES WARREN GILES MOUNTS
Family Medicine (Sleep Medicine)
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-3426

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 Kristen Wallin's NPI number?

The NPI number for Kristen Wallin is 1376770677. It was assigned to this individual provider in the NPPES registry on June 15, 2009. The provider is also known as Dr. Kristen Elizabeth Koenig MD.

Where is Kristen Wallin located?

Kristen Wallin practices at 6600 Van Aalst Blvd, Fort Moore, GA 31905. The listed phone number is (762) 408-2655.

What is Kristen Wallin's specialty?

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

Is Kristen Wallin enrolled in Medicare?

Yes. Kristen Wallin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristen Wallin was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.