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MRS. CANDICE E WALLACE MD
NPI 1881730687
Emergency Medicine - Emergency Medical Services in Lawrenceville, GA

Active since January 29, 2007PECOS Enrolled
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30045(678) 442-3317(678) 442-4416 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Candice E Wallace Md NPPES

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

MRS. CANDICE E WALLACE MD (NPI 1881730687) is an individual emergency medical services provider in Lawrenceville, Georgia, licensed in Georgia (030918) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881730687
Entity TypeIndividualFemale
Primary Taxonomy207PE0004X
Provider Legal NameMRS. CANDICE E WALLACECredential: MD
Location Address1000 MEDICAL CENTER BLVDLawrenceville, GA 30045-7694
Mailing Address1260 Wildcliff Cir NeAtlanta, GA 30329-3473 · (678) 442-3317 · Fax (678) 442-4416
Phone(678) 442-3317
Fax(678) 442-4416
Sole ProprietorNo
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1881730687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in GA · 030918
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30045
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Other Names 1

Other Name (5)Mrs. Candice Wallace Diggs Md

Other Identifiers 3

Medicare ID-Type Unspecified93BDTRPGA
Medicare UPINE34330GA
Medicaid00405468DGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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)

Mrs. Candice E 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 30045 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 20

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

AMANARH ALBERT KISSEIH MD
Emergency Medicine
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 442-3317
DR. CRAIG M SPECTOR MD
Anesthesiology
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Gwinnett County (770) 963-9905
DONALD ALFRED RUF MD
Emergency Medicine
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 442-3317
MR. CHARLES LEROY PEACOCK CRNA
Nurse Anesthetist, Certified Registered
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 442-4321
DR. STEPHEN F LEGUM MD
Radiology (Diagnostic Radiology)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Gwinnett County (770) 995-4321
MRS. KIMBERLY MARIE SMITH FNP-C
Nurse Practitioner (Family)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 442-4350
JUNE ELLEN SELBY CNM
Advanced Practice Midwife
1000 MEDICAL CENTER BLVD, OB CLINIC
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 312-4616
DR. DOUGLAS H SEEB MD
Radiology (Diagnostic Radiology)
1000 MEDICAL CENTER BLVD, RADIOLOGY DEPT
LAWRENCEVILLE, GA 30045
Gwinnett County (770) 995-4321

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 Candice Wallace's NPI number?

The NPI number for Candice Wallace is 1881730687. It was assigned to this individual provider in the NPPES registry on January 29, 2007. The provider is also known as Mrs. Candice Wallace Diggs MD.

Where is Candice Wallace located?

Candice Wallace practices at 1000 Medical Center Blvd, Lawrenceville, GA 30045. The listed phone number is (678) 442-3317.

What is Candice Wallace's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Candice Wallace enrolled in Medicare?

Yes. Candice Wallace is registered in the Medicare PECOS enrollment system.

What insurance does Candice Wallace accept?

Health plans from Oscar Insurance Company list Candice Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Candice Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.