Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

David C. Wallace

Counselor - Professional β€’ Columbus, GA

Active NPI 1952604183 Individual Practitioner Male Practitioner
Practice location in NPPES

2100 Comer Ave
Columbus, GA 319048725

Call 7063230174 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2100 Comer Ave

Columbus, GA 319048725

Telephone 7063230174
Fax 7062563264
Organization at the Same NPPES Address or Phone
New Horizons Area Mh Mr Sa Program Facility NPI 1154315422

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

David Wallace has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists David Wallace as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Columbus and Georgia

174 active clinicians are listed under Counselor - Professional with a practice address in Columbus, GA (6,608 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Columbus

4% of these 174 clinicians have the CMS telehealth indicator.

10.9% of these 174 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-10
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES GA LPC004754
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240205002025

Enrollment State Jurisdiction

GA

PECOS Control ID

1759724941

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Dr. Audrey Brown , MD

Internal Medicine

NPI 1629162490

Doctor of Medicine (M.D.)

Dr. Grace Chin Yut , MBBS

Family Medicine - Adult Medicine

NPI 1316026792

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Tiffni Daniel , DNP, APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1275103319

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Michael Dehner , APRN

Nurse Practitioner - Family

NPI 1275903239

Advanced Practice Registered Nurse

Wendy Leonard , APRN

Nurse Practitioner - Family

NPI 1689717167

Advanced Practice Registered Nurse

Caroline Lukano , PMHNP-BC, FNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023498466

Psychiatric-Mental Health Nurse Practitioner (Board Certified), Family Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address October 10, 2023

Registered at 5700 VETERANS PKWY, COLUMBUS, GA 319049093 (Tel: 7062213222)

βœ…
NPI Profile Active December 09, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 09, 2010

Registered at 2100 COMER AVE, COLUMBUS, GA 319048725 (Tel: 7063230174)

πŸ“
Business Mailing Address (Initial Record) December 09, 2010

Registered at 5 ADAMS PARK CT, COLUMBUS, GA 319093525 (Tel: 7065070442)

πŸ‘€
Provider Name / Credentials (Initial Record) December 09, 2010

Recorded as DAVID WALLACE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2010

Counselor (license number reported to NPPES: GA LPC004754)

🟒
Initial NPI Registration & Enumeration December 09, 2010

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1952604183
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2010
Last Update: October 10, 2023
Sole Proprietor: No

Other Counselor - Professionals in Columbus

Healthcare providers in Columbus

Mailing Address

5700 Veterans Pkwy

Columbus, GA 319049093

Phone: 7062213222

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.