DR. COLBY EVAN WALLACE D.P.T.
NPI 1457806622
Physical Therapist - Neurology in Atlanta, GA
NPI Status: Active since August 17, 2016
Contact Information
12 EXECUTIVE PARK DR NE
ATLANTA, GA
ZIP 30329
Phone: (404) 778-3444
- Individual
- Male
- Years of Experience 11
- Physical Therapist
- Neurology
- Accepts Insurance
- Accepts Medicare Approved Payment
About COLBY WALLACE
This page provides the complete NPI Profile along with additional information for Colby Wallace, a provider established in Atlanta, Georgia with a medical specialization in Physical Therapist, focusing in neurology and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1457806622 assigned on August 2016. The practitioner's primary taxonomy code is 2251N0400X with license number PT012499 (GA). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1457806622
- Provider Name
- DR. COLBY EVAN WALLACE D.P.T.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 12 EXECUTIVE PARK DR NE ATLANTA, GA 30329
- Location Phone
- (404) 778-3444
- Mailing Address
- 7208 NORTHLAKE HEIGHTS CIR NE ATLANTA, GA 30345
- Mailing Phone
- (615) 653-9596
- Medical School Name
- OTHER
- Graduation Year
- 2016
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-17-2016
- Last Update Date
- 08-17-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Neurology
- Taxonomy Code
- 2251N0400X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- PT012499
- License State
- GA
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
- SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
- SoloCare Gold EPO $1500 DED 10010 - EPO
- SoloCare Silver EPO $5000 DED 10014 - EPO
- SoloCare Silver EPO $6500 DED 10013 - EPO
- SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
- SoloCare Standard Gold EPO $2000 DED 10006 - EPO
- SoloCare Standard Platinum EPO $0 DED 10005 - EPO
- SoloCare Standard Silver EPO $6000 DED 10007 - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Colby Wallace is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 8729456579
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20221129000360
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1457806622, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ATLANTA, GA 30329
ATLANTA, GA 30329
ATLANTA, GA 30329
ATLANTA, GA 30329
ATLANTA, GA 30329
ATLANTA, GA 30329
ATLANTA, GA 30329
ATLANTA, GA 30329
ATLANTA, GA 30329
ATLANTA, GA 30329
ATLANTA, GA 30329
ATLANTA, GA 30329
ATLANTA, GA 30329
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457806622, enumerated as an "individual" on August 17, 2016.
The provider is located at 12 EXECUTIVE PARK DR NE ATLANTA, GA 30329 and the phone number is (404) 778-3444.
Physical Therapist with taxonomy code 2251N0400X and a focus in Neurology.
The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to verify.
