MR. CARTER DOUGLAS WALLACE MD
NPI 1497037899
Pediatrics - Pediatric Gastroenterology in Columbus, GA

Q: What is Carter Wallace's NPI number?

The NPI number for Carter Wallace is 1497037899. It was assigned to this individual provider in the NPPES registry on September 13, 2011. The provider is also known as Mr. Carter Wallace MD.

Q: What is Carter Wallace's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Carter Wallace was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 September 13, 2011PECOS Enrolled

2200 HAMILTON RD STE B, COLUMBUS, GA 31904(706) 655-8800(205) 638-7455 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2022, Oct 1, 2019, Sep 14, 2018 (3 updates tracked since 2018).

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About Mr. Carter Douglas Wallace Md NPPES

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

MR. CARTER DOUGLAS WALLACE MD (NPI 1497037899) is an individual pediatric gastroenterology provider in Columbus, Georgia, licensed in Georgia (90501) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497037899

Entity TypeIndividualMale

Primary Taxonomy2080P0206X

Provider Legal NameMR. CARTER DOUGLAS WALLACECredential: MD

Location Address2200 HAMILTON RD STE BColumbus, GA 31904-8856

Mailing Address1600 7th Avenue South, Suite S604Birmingham, AL 35233 · (205) 638-9918 · Fax (205) 638-7455

Phone(706) 655-8800

Fax(205) 638-7455

Sole ProprietorNo

Enumeration DateSeptember 13, 2011

Last NPPES UpdateAugust 22, 20223 updates tracked since enumeration

NPPES CertifiedAugust 22, 2022

✔ NPI 1497037899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

Licenses✔ Licensed in GA · 90501✔ Licensed in AL · MD.35643

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedPediatricsTaxonomy 208000000X · License MD.35643 (AL)

2200 HAMILTON RD STE B, Columbus, GA 31904

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Other Names 1

Professional Name (2)Mr. Carter Wallace Md

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 (PECOS)

Mr. Carter Douglas 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 31904 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

$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 5

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

HUMBERTO JOSE RIOS MD

Internal Medicine (Gastroenterology)