MICHAEL T WALLACE MD
NPI 1427624170
Emergency Medicine in Fort Benning, GA
About Michael T Wallace Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL T WALLACE MD (NPI 1427624170) is an individual emergency medicine provider in Fort Benning, Georgia, licensed in Georgia (12643) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Piedmont Columbus Regional Midtown, and is a graduate of University Of South Carolina School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Michael T Wallace Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Michael Wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbus, GA 31901
- Reassigned Medicare billing, Georgia enrollment
- 236 clinicians in this Medicare group
Columbus, GA 31909
- Reassigned Medicare billing, Georgia enrollment
- 173 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Columbus Regional Midtown
Acute Care Hospitals · Columbus, GAPhysician 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.
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.
FORT MOORE, GA 31905
COLUMBUS, GA 31905
FORT MOORE, GA 31905
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 1427624170. It was assigned to this individual provider in the NPPES registry on June 2, 2021.
Where is Michael Wallace located?
Michael Wallace practices at 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905. The listed phone number is (762) 408-2604.
What is Michael Wallace's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
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 2 organizations: Emergency Group Of Columbus, LLC (Columbus, GA) and Heritage Physician Services, LLC (Columbus, 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 Blue Cross and Blue Shield of Alabama 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 Piedmont Columbus Regional Midtown.
When was this NPI record last updated?
The NPPES record for Michael Wallace was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Michael T Wallace, MD · NPI 1427624170
Emergency Medicine physician in Fort Benning, Georgia. Individual provider, active in the CMS NPPES registry since June 2, 2021.
## Identity
- **NPI:** 1427624170 (Entity type: Individual)
- **Enumerated:** June 2, 2021
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 12643 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 6600 VAN AALST BLVD BLDG 9250, Fort Benning, GA 31905-2102
- **Phone:** (762) 408-2604
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Emergency Group Of Columbus, LLC (NPI 1316458227, Columbus, GA); Heritage Physician Services, LLC (NPI 1003321969, Columbus, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Carolina School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** July 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1427624170) · Data from the CMS NPPES public registry.