MR. GARRETT JAMES WALLACE
NPI 1396403325
Emergency Medicine in Carrollton, GA

Q: What is Garrett Wallace's NPI number?

The NPI number for Garrett Wallace is 1396403325. It was assigned to this individual provider in the NPPES registry on December 7, 2021.

Q: What is Garrett Wallace's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Garrett Wallace was last updated on December 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since December 07, 2021PECOS EnrolledAccepts Medicare Assignment

705 DIXIE ST, CARROLLTON, GA 30117(770) 812-9666 Get Directions Write a Review

NPPES record last updated: December 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 14, 2025, Dec 7, 2021 (2 updates tracked since 2021).

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About Mr. Garrett James Wallace NPPES

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

MR. GARRETT JAMES WALLACE (NPI 1396403325) is an individual emergency medicine provider in Carrollton, Georgia, licensed in Georgia (100700) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and is a graduate of Emory University School Of Medicine (2022).

NPPES Registry Identity

NPI1396403325

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameMR. GARRETT JAMES WALLACE

Location Address705 DIXIE STCarrollton, GA 30117-3818

Mailing Address705 Dixie StCarrollton, GA 30117-3818 · (770) 812-9666

Phone(770) 812-9666

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2022

Enumeration DateDecember 7, 2021

Last NPPES UpdateDecember 14, 20252 updates tracked since enumeration

NPPES CertifiedDecember 14, 2025

✔ NPI 1396403325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in GA · 100700

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

705 DIXIE ST, Carrollton, GA 30117

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Mr. Garrett James Wallace 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 ID5193105807

PECOS Enrollment IDI20251223004614

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.

Hospital Affiliations CMS Care Compare 2

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

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110011

Location705 Dixie StreetCarrollton, GA 30117 · Carroll County

Birthing friendly

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110015

Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 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.

WEST GEORGIA PATHOLOGY, LLC

Pathology (Anatomic Pathology & Clinical Pathology)

705 DIXIE ST, ATTENTION: PATHOLOGY DEPARTMENT
CARROLLTON, GA 30117

Carroll County (678) 305-9046

LORIEN T ALTADONNA M.D.

Pathology (Anatomic Pathology & Clinical Pathology)