WALLACE STEVE ANDERSON D.O.
NPI 1881622314
Family Medicine in Douglas, GA

Active since June 30, 2006
1311 OCILLA RD, DOUGLAS, GA 31533(912) 384-1043 Get Directions Write a Review

NPPES record last updated: December 5, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wallace Steve Anderson D.o. NPPES

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

WALLACE STEVE ANDERSON D.O. (NPI 1881622314) is an individual family medicine provider in Douglas, Georgia, licensed in Georgia (028708) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1881622314
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWALLACE STEVE ANDERSONCredential: D.O.
Location Address1311 OCILLA RDDouglas, GA 31533-2213
Mailing Address1311 Ocilla RdDouglas, GA 31533-2213 · (912) 384-1043
Sole ProprietorYes
Enumeration DateJune 30, 2006
Last NPPES UpdateDecember 5, 2014
NPI 1881622314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 028708
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1311 OCILLA RD, Douglas, GA 31533

Other Identifiers 4

Medicare UPIND39295
Medicaid000325663AGA
Medicare PIN080170553
Medicare PIN$$$$$$$$$AGA

Other Providers at the Same Location NPPES 3

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

Family Medicine
1311 OCILLA RD
DOUGLAS, GA 31533
Family Medicine
1311 OCILLA RD
DOUGLAS, GA 31533
Clinic/Center (Primary Care)
1311 OCILLA RD
DOUGLAS, GA 31533

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 Wallace Anderson's NPI number?

The NPI number for Wallace Anderson is 1881622314. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Wallace Anderson located?

Wallace Anderson practices at 1311 Ocilla Rd, Douglas, GA 31533. The listed phone number is (912) 384-1043.

What is Wallace Anderson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wallace Anderson was last updated on December 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.