Stephanie R Wallace

NP | Nurse Practitioner - Psych/Mental Health | 28+ years Exp

1230 Baxter St, Athens
  Georgia, 30606-3712
706-389-2273
Accepts Medicare Nurse Anesthetist in Athens, Georgia.
Stephanie R Wallace is a Athens, Georgia based nurse practitioner with 28 years of experience in Psych/Mental Health. She completed her graduation in 1997. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Stephanie R Wallace is RN136273 in Georgia. Her current practice location is 1230 Baxter St, Athens. Patients can reach her at 706-389-2273 or can fax her at 706-389-2298. Stephanie R Wallace is NP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1124087879.
Stephanie R Wallace provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Stephanie R 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: Stephanie R Wallace
Specialization: Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:Female
Credentials: NP
Experience: 28+ years
Medical School Attended:Other
Graduation Year:1997
Accepts Medicare Assignment:Yes
Practice Address:1230 Baxter St, Athens,
Georgia, 30606-3712
Phone:706-389-2273
Fax:706-389-2298
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: 3274565072
Enrollment ID: I20050831000942
NPI Number: 1124087879
NPI Enumeration Date: 21 Mar, 2006
NPI Last Update On: 31 Oct, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephanie R Wallace are as mentioned below.
License NumberSpecializationStateStatus
RN136273 GeorgiaPrimary
RN136273Psych/Mental Health GeorgiaSecondary
RN136273Family GeorgiaSecondary
RN136279Women Health GeorgiaSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(110074)Athens, GAAcute Care Hospital
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 Stephanie R Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Piedmont Athens Hospitalist Physicians Llc (6305196411)88
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Stephanie R Wallace
Po Box 48089,
Athens, Georgia
Zip: 30604-8089
Phone Number: 706-389-3740
Fax Number: 706-389-3951
Patients can reach Stephanie R Wallace at 1230 Baxter St, Athens, Georgia or can call to book an appointment on 706-389-2273.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.