Katherine Marie Wallace
NP-C | Nurse Practitioner - Adult Health | 11+ years Exp
118 Enterprise Ct Ste B, Columbus
Georgia, 31904-9228
706-330-1389
Katherine Marie Wallace is a Columbus, Georgia based nurse practitioner with 11 years of experience in Adult Health. She completed her graduation from University Of Alabama School Of Medicine in 2014. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Katherine Marie Wallace is RN243697 for Adult Health in Georgia. Her current practice location is 118 Enterprise Ct Ste B, Columbus. Patients can reach her at 706-330-1389 or can fax her at 706-330-1392. Katherine Marie Wallace is NP-C with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1548650617.
Katherine Marie Wallace can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Katherine Marie Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Katherine Marie Wallace |
| Specialization: | Adult Health Nurse Practitioner (ANP) |
| Gender: | Female |
| Credentials: | NP-C |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 118 Enterprise Ct Ste B, Columbus,
Georgia, 31904-9228 |
| Phone: | 706-330-1389 |
| Fax: | 706-330-1392 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3971821273 |
| Enrollment ID: | I20150417000322 |
| NPI Number: | 1548650617 |
| NPI Enumeration Date: | 28 Jan, 2015 |
| NPI Last Update On: | 21 Jul, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Katherine Marie Wallace are as mentioned below.
| License Number | Specialization | State | Status | |
| RN243697 | Adult Health | Georgia | Primary | |
| A0714020 | Adult Health | Alabama | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Katherine Marie Wallace is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Columbus Physical Medicine Center Inc (5799920799) | 3 |
| Southwest Georgia Center Of Medicine, Llc (4880729045) | 3 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Katherine Marie Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 003161276B | Medicaid | Georgia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Katherine Marie Wallace
2702 Betchet Lane,
Opelika, Alabama |
| Zip: | 36801-6153 |
| Phone Number: | 334-750-1421 |
Patients can reach Katherine Marie Wallace at
118 Enterprise Ct Ste B, Columbus, Georgia or can
call to book an appointment on 706-330-1389.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.