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

Q: What is Robert Wallace's NPI number?

The NPI number for Robert Wallace is 1780015610. It was assigned to this individual provider in the NPPES registry on December 3, 2013.

Q: What is Robert Wallace's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Robert Wallace was last updated on December 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 December 03, 2013

1130 GOAT ROCK ROAD, FORTSON, GA 31808(706) 323-6485(706) 596-2025 Get Directions Write a Review

NPPES record last updated: December 3, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Robert G. Wallace M.d. NPPES

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

DR. ROBERT G. WALLACE M.D. (NPI 1780015610) is an individual diagnostic radiology provider in Fortson, Georgia, licensed in Georgia (13317) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1780015610

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. ROBERT G. WALLACECredential: M.D.

Location Address1130 GOAT ROCK ROADFortson, GA 31808

Mailing AddressP.o. Box 2787Columbus, GA 31902 · (706) 323-6485 · Fax (706) 596-2025

Phone(706) 323-6485

Fax(706) 596-2025

Sole ProprietorYes

Enumeration DateDecember 3, 2013

✔ NPI 1780015610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in GA · 13317

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License 13317 (GA)

Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License 13317 (GA)

1130 GOAT ROCK ROAD, Fortson, GA 31808

Open in Google Maps ↗

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 Robert Wallace's NPI number?

The NPI number for Robert Wallace is 1780015610. It was assigned to this individual provider in the NPPES registry on December 3, 2013.

Where is Robert Wallace located?

Robert Wallace practices at 1130 Goat Rock Road, Fortson, GA 31808. The listed phone number is (706) 323-6485.

What is Robert Wallace's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Robert Wallace was last updated on December 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.