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

Katherine Marie Wallace, NP-C

Individual provider Adult Health Nurse Practitioner · NPI 1548650617

Katherine Marie Wallace, NP-C is a Nurse Practitioner in Columbus, Georgia. Graduated from University of Alabama School of Medicine in 2014, 12 years ago. Accepts Medicare assignment. Licensed in Alabama and Georgia.

Years since qualifying
12
Trained at
University of Alabama School of Medicine
Licensed in
AL, GA
In the registry since
2015
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

118 Enterprise Ct Ste B
Columbus, GA 31904-9228
Phone: (706) 330-1389
Fax: (706) 330-1392
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence RN243697 (GA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence A0714020 (AL)

Record details

NPI number1548650617
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJanuary 28, 2015
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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