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

Rex Michael Wallace, NP

Individual provider Family Nurse Practitioner · NPI 1629960315

Rex Michael Wallace, NP is a Family Practice in Athens, Georgia. Graduated from University of Alabama School of Medicine in 2025, 1 year ago. Practices with Reddy Urgent Care LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Trained at
University of Alabama School of Medicine
Licensed in
GA
In the registry since
2025
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1061 Dowdy Rd
Athens, GA 30606-5700
Phone: (706) 621-7555
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN286080 (GA)

Record details

NPI number1629960315
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 17, 2025
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address964 Mauldin Rd, Jefferson, GA 30549-1308

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Reddy Urgent Care Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Athens