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

Dr. Michelle Wallace, MD

Individual provider Pediatric Cardiology Physician · NPI 1316111719

Dr. Michelle Wallace, MD is a Cardiovascular Disease (Cardiology) in Stockbridge, Georgia. Graduated from Morehouse School of Medicine in 2004, 22 years ago. Practices with Children's Healthcare of Atlanta Cardiology Inc, a 32-clinician group. Licensed in Georgia and North Carolina.

Years since qualifying
22
Trained at
Morehouse School of Medicine
Licensed in
GA, NC
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

202 Village Center Pkwy
Stockbridge, GA 30281-9044
Phone: (404) 256-2593
Fax: (770) 488-9408
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence 064090 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence 141727 (NC)

Record details

NPI number1316111719
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2008
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026
Mailing address2970 Brandywine Rd Ste 125, Atlanta, GA 30341-5521

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Children'S Healthcare Of Atlanta Cardiology Inc — 32 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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