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BRADLEY A WALLACE MD
NPI 1942543624
Emergency Medicine in Atlanta, GA

Active since April 01, 2013PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
49 JESSE HILL JR DR SE, ATLANTA, GA 30303(404) 251-8850 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley A Wallace Md NPPES

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

BRADLEY A WALLACE MD (NPI 1942543624) is an individual emergency medicine provider in Atlanta, Georgia, licensed in Georgia (075946) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Morehouse School Of Medicine (2013).

NPPES Registry Identity

NPI1942543624
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBRADLEY A WALLACECredential: MD
Location Address49 JESSE HILL JR DR SEAtlanta, GA 30303-3049
Mailing Address49 Jesse Hill Jr Dr SeAtlanta, GA 30303-3049 · (404) 251-8850
Phone(404) 251-8850
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 2013
Enumeration DateApril 1, 2013
Last NPPES UpdateJune 20, 2016
✔ NPI 1942543624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 075946
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
49 JESSE HILL JR DR SE, Atlanta, GA 30303
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bradley A Wallace Md 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.

PECOS PAC ID8123322377
PECOS Enrollment IDI20160810001235
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
51 services51 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

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.

NICHOLAS AUSTIN MD
Internal Medicine
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
CAMERON R MARTIN PA-C
Physician Assistant
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-4473
JOO YOUNG JUNG
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
SUMAIYA ALAM MD
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
SHRUTI GUPTA MD
Internal Medicine (Hematology & Oncology)
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
NANDINI AVULA
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
WASEF NIJIM
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
CHANDRIKA SANAPALA DO
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777

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 Bradley Wallace's NPI number?

The NPI number for Bradley Wallace is 1942543624. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Where is Bradley Wallace located?

Bradley Wallace practices at 49 Jesse Hill Jr Dr SE, Atlanta, GA 30303. The listed phone number is (404) 251-8850.

What is Bradley Wallace's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Bradley Wallace enrolled in Medicare?

Yes. Bradley 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.

Is Bradley Wallace affiliated with any hospitals?

According to CMS data, Bradley Wallace is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Bradley Wallace was last updated on June 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.