DR. ROBERT G. WALLACE M.D.
NPI 1780015610
Radiology - Diagnostic Radiology in Fortson, GA

NPI Status: Active since December 03, 2013

Contact Information

1130 GOAT ROCK ROAD
FORTSON, GA
ZIP 31808
Phone: (706) 323-6485
Fax: (706) 596-2025

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  • Individual
  • Male
  • Radiology
  • Diagnostic Radiology

About ROBERT WALLACE

This page provides the complete NPI Profile along with additional information for Robert Wallace, a provider established in Fortson, Georgia with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1780015610 assigned on December 2013. The practitioner's primary taxonomy code is 2085R0202X with license number 13317 (GA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1780015610
Provider Name
DR. ROBERT G. WALLACE M.D.
Gender
Male
Entity Type
Individual
Location Address
1130 GOAT ROCK ROAD FORTSON, GA 31808
Location Phone
(706) 323-6485
Location Fax
(706) 596-2025
Mailing Address
P.O. BOX 2787 COLUMBUS, GA 31902
Mailing Phone
(706) 323-6485
Mailing Fax
(706) 596-2025
Is Sole Proprietor?
Yes
Enumeration Date
12-03-2013
Last Update Date
12-03-2013
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
13317
License State
GA
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085N0904XAllopathic & Osteopathic Physicians

Radiology
Nuclear Radiology

13317 (GA)
22085U0001XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Ultrasound

13317 (GA)

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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 1780015610, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
0
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 8 → 16 → 7 0 → 0 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 6 + 0 + 0 + 1 + 1 + 0 + 6 + 2 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1780015610.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780015610, enumerated as an "individual" on December 03, 2013.

The provider is located at 1130 GOAT ROCK ROAD FORTSON, GA 31808 and the phone number is (706) 323-6485.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.