MR. WALLACE HENRY III TORBERT (PA-C) – Physician Assistant, NPI 1679169783

MR. WALLACE HENRY III TORBERT (PA-C) is a healthcare provider. based in Phenix city, Alabama. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA101520 (MA). The NPI Number for MR. WALLACE HENRY III TORBERT (PA-C) is 1679169783

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MR. WALLACE HENRY III TORBERT (PA-C)
NPI
1679169783
Phone
(706) 570-8101
Address
4305 LINDA DR
Enumeration Date
14 December 2020
Last Update Date
21 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3379919276
Graduation Year
2020 (6 years ago)
PAC ID
9931515517
Group Practice PAC ID
2466823711
Professional Enrollment ID
I20221110000646
Address ID
FL334835028DE401XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:5State licenses:5Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for MR. WALLACE HENRY III TORBERT (PA-C)

  • 4305 LINDA DR

    PHENIX CITY, AL 368671615

    Phone: (706) 570-8101

    Type: Mailing

  • 2000 16TH AVE

    COLUMBUS, GA 319011600

    Phone: (706) 320-3700

    Type: Location

  • 1 EMBARCADERO CTR FL 19

    SAN FRANCISCO, CA 941113628

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210305000489IPhysician AssistantGATBD
I20221110000646IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making9392$0
99285Emergency department visit with high level of medical decision making2726$0
View full utilization report →

Insurance plans in this area (ZIP 36867)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466823711View full group profile
NameSpecialtyState
Nurse PractitionerFL
Physician AssistantFL
Family PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerSC
Pulmonary Disease, Critical Care (Intensivists)NY
Nurse PractitionerFL
Nurse PractitionerNY
Nurse PractitionerFL

Reviews

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Frequently asked questions

What federal number belongs to MR. WALLACE HENRY III TORBERT (PA-C)?
The federal identifier for MR. WALLACE HENRY III TORBERT (PA-C) is NPI 1679169783.
Is MR. WALLACE HENRY III TORBERT (PA-C) currently active in the NPI registry?
CMS-published data lists MR. WALLACE HENRY III TORBERT (PA-C) as an active registrant.
Can you summarize MR. WALLACE HENRY III TORBERT (PA-C)'s specialty in plain language?
Clinically, the directory lists MR. WALLACE HENRY III TORBERT (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MR. WALLACE HENRY III TORBERT (PA-C) practice in Alabama?
You will see Phenix City, Alabama on file for MR. WALLACE HENRY III TORBERT (PA-C) alongside any extra practice locations.
Is MR. WALLACE HENRY III TORBERT (PA-C) a real provider?
This page reflects official NPPES data for NPI 1679169783. Always confirm identity and privileges with the practice and licensing boards.

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