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

Stephanie R Wallace, NP

Individual provider Family Nurse Practitioner · NPI 1124087879

Stephanie R Wallace, NP is a Nurse Practitioner in Athens, Georgia. Qualified in 1997, 29 years ago. Practices with Piedmont Athens Hospitalist Physicians LLC, a 167-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
29
Licensed in
GA
In the registry since
2006
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1230 Baxter St
Athens, GA 30606-3712
Phone: (706) 389-2273
Fax: (706) 389-2298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1199 Prince Ave, Athens, GA 30606-2797 — (706) 475-5076

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN136273 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN136273 (GA)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence RN136279 (GA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence RN136273 (GA)

Record details

NPI number1124087879
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 21, 2006
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Piedmont Athens Hospitalist Physicians Llc — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Athens