Dr Colby Evan Wallace, DPT - Medicare Physical Therapist in Atlanta, GA

Dr Colby Evan Wallace, DPT is a medicare enrolled "Physical Therapist - Neurology" provider in Atlanta, Georgia. His current practice location is 12 Executive Park Dr Ne, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 778-3444.

Dr Colby Evan Wallace is licensed to practice in Georgia (license number PT012499) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457806622.

Contact Information

Dr Colby Evan Wallace, DPT
12 Executive Park Dr Ne,
Atlanta, GA 30329-2206
(404) 778-3444
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Colby Evan Wallace
GenderMale
SpecialityPhysical Therapist - Neurology
Location12 Executive Park Dr Ne, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457806622
  • Provider Enumeration Date: 08/17/2016
  • Last Update Date: 08/17/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8729456579
  • Enrollment ID: I20221129000360

Medical Identifiers

Medical identifiers for Dr Colby Evan Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457806622NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251N0400XPhysical Therapist - Neurology PT012499 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Colby Evan Wallace allows following entities to bill medicare on his behalf.
Provider NameOrthoatlanta, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1851937114
PECOS PAC ID: 3971406885
Enrollment ID: O20040129000005
Provider NameAtlanta Rehabilitation And Performance Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1982797494
PECOS PAC ID: 5890692917
Enrollment ID: O20060421000284
Provider NamePiedmont Orthopedics, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1114317062
PECOS PAC ID: 4385963172
Enrollment ID: O20150429000361

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Colby Evan Wallace is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Colby Evan Wallace, DPT
7208 Northlake Heights Cir Ne,
Atlanta, GA 30345-2262

Ph: (615) 653-9596
Dr Colby Evan Wallace, DPT
12 Executive Park Dr Ne,
Atlanta, GA 30329-2206

Ph: (404) 778-3444

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.