TONYA RENEE WALLACE FNP
NPI 1730563982
Nurse Practitioner - Family in Decatur, GA
About Tonya Renee Wallace Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TONYA RENEE WALLACE FNP (NPI 1730563982) is an individual family provider in Decatur, Georgia, licensed in Georgia (RN161712) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Arvada, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Tonya Renee Wallace Fnp 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
5Medicare enrollment records show Tonya Wallace reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Decatur, GA 30032
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Iora Health Georgia PC
- 38 clinicians in this Medicare group
Decatur, GA 30032
- Reassigned Medicare billing, Georgia and Colorado enrollments
- Also billed through NPI 1538518584 (Colorado)
- 37 clinicians in this Medicare group
Newnan, GA 30265
- Reassigned Medicare billing, Georgia enrollment
- 448 clinicians in this Medicare group
Houston, TX 77022
- Reassigned Medicare billing, Texas enrollment
- 40 clinicians in this Medicare group
Aurora, CO 80012
- Reassigned Medicare billing, Colorado enrollment
- 62 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30032 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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DECATUR, GA 30032
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 Tonya Wallace's NPI number?
The NPI number for Tonya Wallace is 1730563982. It was assigned to this individual provider in the NPPES registry on July 17, 2015.
Where is Tonya Wallace located?
Tonya Wallace practices at 3527 Memorial Dr Unit W, Decatur, GA 30032. The listed phone number is (888) 663-6331.
What is Tonya Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tonya Wallace enrolled in Medicare?
Yes. Tonya 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 Tonya Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Wallace reassigns Medicare benefits to 5 organizations: Iora Health Georgia, P.C. (Decatur, GA), Iora Senior Health, LLC (Decatur, GA), City Of Hope Medical Group Of Georgia LLC (Newnan, GA), Iora Health Texas, PLLC (Houston, TX) and Iora Health Colorado, P.C. (Aurora, CO). 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 Tonya Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tonya Wallace was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Tonya Renee Wallace, FNP · NPI 1730563982
Family physician in Decatur, Georgia. Individual provider, active in the CMS NPPES registry since July 17, 2015.
## Identity
- **NPI:** 1730563982 (Entity type: Individual)
- **Enumerated:** July 17, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN161712 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3527 MEMORIAL DR UNIT W, Decatur, GA 30032-2731
- **Phone:** (888) 663-6331 · **Fax:** (415) 252-7176
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Iora Health Georgia, P.C. (NPI 1205326881, Decatur, GA); Iora Senior Health, LLC (NPI 1780163360, Decatur, GA); City Of Hope Medical Group Of Georgia LLC (NPI 1447520333, Newnan, GA); Iora Health Texas, PLLC (NPI 1912566514, Houston, TX); Iora Health Colorado, P.C. (NPI 1568991511, Aurora, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** April 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1730563982) · Data from the CMS NPPES public registry.