Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cleopatra Wallace, CRNA

Individual provider Registered Nurse · NPI 1679959852

Cleopatra Wallace, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Macon, Georgia. Qualified in 2015, 11 years ago. Practices with Piedmont Anesthesia LLC, a 554-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2015
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

777 Hemlock St
Macon, GA 31201-2102
Phone: (478) 633-2147
Fax: (478) 742-9670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN181636 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN181636 (GA)

Record details

NPI number1679959852
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 10, 2015
Last updated in NPPESMarch 12, 2018
Mailing addressPo Box 551420, Fort Lauderdale, FL 33355-1420

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Piedmont Anesthesia Llc — 554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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