CATHERINE WALLACE (MD) – Urology Physician, NPI 1154946606

CATHERINE WALLACE (MD) is a healthcare provider. based in Augusta, Georgia. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 94669 (GA). The NPI Number for CATHERINE WALLACE (MD) is 1154946606

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
CATHERINE WALLACE (MD)
NPI
1154946606
Phone
(404) 543-4506
Address
1814 VERDERY ST
Enumeration Date
10 June 2020
Last Update Date
2 May 2023

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7704451362
Graduation Year
2020 (6 years ago)
PAC ID
1557786282
Group Practice PAC ID
9032161864
Professional Enrollment ID
I20230228001205
Address ID
GA301324749DA243XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

363 UROLOGY in GA

Provider Addresses for CATHERINE WALLACE (MD)

  • 1814 VERDERY ST

    AUGUSTA, GA 309045716

    Phone: (404) 543-4506

    Type: Mailing

  • 1120 15TH ST

    AUGUSTA, GA 309120006

    Phone: (706) 721-2519

    Type: Location

  • 243 MERCHANTS DR STE A

    DALLAS, GA 301324749

    Phone: (404) 543-4506

    Type: Mailing

  • 243 MERCHANTS DR

    DALLAS, GA 301324700

    Phone: (770) 230-9967

    Fax: (770) 445-5860

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $199.

Total Amount is formed as General ($199) + Research ($0) + Ownership ($0) = $199.

Last reported payment date: 2023-05-11 • Largest payer in this snapshot: Medtronic, Inc. ($180).

Total Amount

$199

General + Research + Ownership

Payments

3

Total payment records

General Amount

$199

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$180
Avanos Medical$20
View all Open Payments →|Open Payments Risk Radar →

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: 2023-02-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20230228001205IUrologyGATBD

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
J7320Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg1,70111$0
20610Aspiration and/or injection of fluid from large joint24132$0
77002Fluoroscopic guidance for needle placement23932$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml23432$0
J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose17226$0
View full utilization report →

Insurance plans in this area (ZIP 30904)

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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: 9032161864View full group profile
NameSpecialtyState
C H I R O P R A C T I CGA

Reviews

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Frequently asked questions

What NPI should I save for CATHERINE WALLACE (MD)?
Save NPI 1154946606 if you need a stable reference for CATHERINE WALLACE (MD).
Does this profile mean CATHERINE WALLACE (MD) is currently active?
Yes — CATHERINE WALLACE (MD) appears active in the national provider directory.
What field does CATHERINE WALLACE (MD) work in?
You can think of CATHERINE WALLACE (MD) as practicing within Urology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place CATHERINE WALLACE (MD)?
The snapshot lists Augusta, Georgia for CATHERINE WALLACE (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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