CYNTHIA R WALLACE (C.N.M.) – Advanced Practice Midwife, NPI 1528257268

CYNTHIA R WALLACE (C.N.M.) is a healthcare provider. based in Saint marys, Georgia. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials C.N.M.. They hold a License No. RN046062 (GA). The NPI Number for CYNTHIA R WALLACE (C.N.M.) is 1528257268

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
CYNTHIA R WALLACE (C.N.M.)
NPI
1528257268
Phone
(912) 540-6750
Address
2060 DAN PROCTOR DR
Enumeration Date
18 October 2007
Last Update Date
12 February 2015

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9124665506
Graduation Year
1994 (32 years ago)
PAC ID
1557515525
Group Practice PAC ID
9830093640
Professional Enrollment ID
I20130129000614
Address ID
GA315583817SA2040XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

183 CERTIFIED NURSE MIDWIFE (CNM) in GA

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Provider Addresses for CYNTHIA R WALLACE (C.N.M.)

  • Dan Proctor Drive, Saint Marys, Camden County, Georgia, 31558, United States

    SUITE 1200

    SAINT MARYS, GA 315583894

    Phone: (912) 540-6750

    Fax: (912) 540-6773

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $229.

Total Amount is formed as General ($229) + Research ($0) + Ownership ($0) = $229.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($56).

Total Amount

$229

General + Research + Ownership

Payments

11

Total payment records

General Amount

$229

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

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: 2013-01-29

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
I20130129000614ICertified Nurse Midwife (Cnm)GATBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1313$0
View full utilization report →

Insurance plans in this area (ZIP 31558)

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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: 9830093640View full group profile
NameSpecialtyState
Infectious DiseaseGA
Family PracticeGA
Physician AssistantGA
Family PracticeGA
Physician AssistantGA
Internal MedicineGA
-GA
Cardiovascular Disease (Cardiology), Internal MedicineGA
-GA
-GA

Reviews

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Frequently asked questions

Does CYNTHIA R WALLACE (C.N.M.) have a public NPI I can cite?
Public records show CYNTHIA R WALLACE (C.N.M.) under NPI 1528257268.
Is CYNTHIA R WALLACE (C.N.M.) currently accepting referrals based on NPI status?
Registry metadata lists CYNTHIA R WALLACE (C.N.M.) as active.
What services align with CYNTHIA R WALLACE (C.N.M.)'s listing?
CYNTHIA R WALLACE (C.N.M.)'s public classification highlights Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
Is CYNTHIA R WALLACE (C.N.M.) tied to Saint Marys, Georgia?
If you are local to Saint Marys, Georgia, CYNTHIA R WALLACE (C.N.M.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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