DOUGLAS W WALLACE (MD) – Diagnostic Radiology Physician, NPI 1083608053

Diagnostic Radiology Physician

DOUGLAS W WALLACE (MD) is a healthcare provider. based in Columbus, Georgia. specializing in Diagnostic Radiology Physician. They hold the professional credentials MD. They hold a License No. 14966 (GA). The NPI Number for DOUGLAS W WALLACE (MD) is 1083608053

Main info

Male

Name

DOUGLAS W WALLACE (MD)

NPI

1083608053

Phone

(706) 257-7700

Address

P.O. BOX 9145

Enumeration Date

7 September 2005

Last Update Date

27 July 2015

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DOUGLAS W WALLACE (MD)

P.O. BOX 9145
COLUMBUS, GA 319089145
Phone: (706) 257-7700
Fax: (706) 257-7708
Type: Mailing
Manchester Expressway, Lakeshore, Crystal Valley, Columbus, Muscogee County, Georgia, 31909, United States
STE A001
COLUMBUS, GA 319046802
Phone: (706) 257-7700
Fax: (706) 257-7708
Type: Location

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31908)

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Frequently asked questions

What is the 10-digit NPI for DOUGLAS W WALLACE (MD)?

DOUGLAS W WALLACE (MD) — NPI 1083608053 — is the standard way to identify this listing.

Does CMS list DOUGLAS W WALLACE (MD) as active?

Yes — DOUGLAS W WALLACE (MD) is active in the NPI listing used on this page.

What taxonomy line describes DOUGLAS W WALLACE (MD)?

For research purposes, treat DOUGLAS W WALLACE (MD) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.

Where is DOUGLAS W WALLACE (MD) based?

DOUGLAS W WALLACE (MD) is tied to Columbus, Georgia in the data we show; additional addresses may exist on the full record.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.