WALLACE STEVE ANDERSON DO, PC
NPI 1982630109
Family Medicine in Douglas, GA

Active since June 23, 2006
1311 OCILLA RD, DOUGLAS, GA 31533(912) 384-1043 Get Directions Write a Review

NPPES record last updated: December 10, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wallace Steve Anderson Do, Pc NPPES

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

WALLACE STEVE ANDERSON DO, PC (NPI 1982630109) is a healthcare organization registered as a family medicine in Douglas, Georgia and active in the NPI registry since June 2006. The organization lists Wallace S Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1982630109
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWALLACE STEVE ANDERSON DO, PC
Location Address1311 OCILLA RDDouglas, GA 31533-2213
Mailing Address1311 Ocilla RdDouglas, GA 31533-2213 · (912) 384-1043 · Fax (912) 384-0197
Organization SubpartNo
Authorized OfficialWallace S AndersonOwner · (912) 384-1043
Enumeration DateJune 23, 2006
Last NPPES UpdateDecember 10, 2014
NPI 1982630109 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 1

Medicare PINGRP3122GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Steve Anderson Do, PC's NPI number?

The NPI number for Wallace Steve Anderson Do, PC is 1982630109. It was assigned to this organization in the NPPES registry on June 23, 2006.

Where is Wallace Steve Anderson Do, PC located?

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

What is Wallace Steve Anderson Do, PC'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 Steve Anderson Do, PC was last updated on December 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.