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

Dr. Austin William Wallace

Individual provider Orthopaedic Surgery Physician · NPI 1063901023

Dr. Austin William Wallace is an Orthopedic Surgery in Savannah, Georgia. Qualified in 2018, 8 years ago. Practices with Optim Orthopedics Trauma LLC, a 2-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
8
Licensed in
FL, GA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

210 E Derenne Ave
Savannah, GA 31405-6736
Phone: (912) 644-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3450 Hull Rd, Gainesville, FL 32607-4144 — (352) 273-7001
  • 1600 Sw Archer Rd, Gainesville, FL 32610-4144 — (352) 273-7002

Specialties & licences

Orthopaedic Trauma Physician (primary) Taxonomy 207XX0801X · Licence 101390 (GA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence ME163050 (FL)
Orthopaedic Trauma Physician Taxonomy 207XX0801X · Licence ME163050 (FL)

Record details

NPI number1063901023
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 5, 2018
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025
Mailing address210 E Derenne Ave, Savannah, GA 31405-6736

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Optim Orthopedics Trauma Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Savannah