DR. COLBY EVAN WALLACE D.P.T.
NPI 1457806622
Physical Therapist - Neurology in Atlanta, GA
NPI Status: Active since August 17, 2016
Contact Information
12 EXECUTIVE PARK DR NE
ATLANTA, GA
ZIP 30329
Phone: (404) 778-3444
- Individual
- Male
- Years of Experience 10
- Physical Therapist
- Neurology
- Accepts Insurance
- Accepts Medicare Approved Payment
About COLBY WALLACE
This page provides the complete NPI Profile along with additional information for Colby Wallace, a provider established in Atlanta, Georgia with a medical specialization in Physical Therapist, focusing in neurology and more than 10 years of experience. The healthcare provider is registered in the NPI registry with number 1457806622 assigned on August 2016. The practitioner's primary taxonomy code is 2251N0400X with license number PT012499 (GA). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1457806622
- Provider Name
- DR. COLBY EVAN WALLACE D.P.T.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 12 EXECUTIVE PARK DR NE ATLANTA, GA 30329
- Location Phone
- (404) 778-3444
- Mailing Address
- 7208 NORTHLAKE HEIGHTS CIR NE ATLANTA, GA 30345
- Mailing Phone
- (615) 653-9596
- Medical School Name
- OTHER
- Graduation Year
- 2016
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-17-2016
- Last Update Date
- 08-17-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Neurology
- Taxonomy Code
- 2251N0400X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- PT012499
- License State
- GA
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO HDHP 8050 10004 - EPO
- SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
- SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
- SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
- SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
- SoloCare Standard Exp Bronze EPO 10008 - EPO
- SoloCare Standard Gold EPO 10006 - EPO
- SoloCare Standard Platinum EPO 10005 - EPO
- SoloCare Standard Silver EPO 10007 - EPO
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Colby Wallace is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 8729456579
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20221129000360
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for DR. COLBY EVAN WALLACE D.P.T.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 5 | 7 | 8 | 0 | 6 | 6 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 10 | 7 | 16 | 0 | 12 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 0 + 7 + 1 + 6 + 0 + 1 + 2 + 6 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1457806622 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1194980979 | MR. STAFFEL STRONG M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 12 EXECUTIVE PARK DR NE ATLANTA, GA 30329 (404) 727-3886 |
| 1629468178 | JOCELYN TANG CHEN WISE LCSW Individual | Social Worker (Clinical) | 12 EXECUTIVE PARK DR NE 5TH FLOOR ATLANTA, GA 30329 (404) 712-6943 |
| 1770793457 | ROMY HOQUE M.D. Individual | Psychiatry & Neurology (Sleep Medicine) | 12 EXECUTIVE PARK DR NE ATLANTA, GA 30329 (917) 656-9748 |
| 1497146674 | LAURA MEDDERS LCSW Individual | Social Worker (Clinical) | 12 EXECUTIVE PARK DR NE INTEGRATED MEMORY CARE - 5TH FLOOR COGNITIVE NEUROLOGY ATLANTA, GA 30329 (404) 712-6929 |
| 1639286057 | DIANE L TEAGARDEN NP, APRN-BC, MSN Individual | Nurse Practitioner (Adult Health) | 12 EXECUTIVE PARK DR NE 4TH FLOOR ATLANTA, GA 30329 (404) 778-3444 |
| 1194118083 | ANNE MARIE ROWLAND NP Individual | Nurse Practitioner (Family) | 12 EXECUTIVE PARK DR NE ATLANTA, GA 30329 (404) 778-3444 |
| 1013302371 | DR. PEARL VICTORIA RYDER M.D., PH.D. Individual | Student in an Organized Health Care Education/Training Program | 12 EXECUTIVE PARK DR NE SUITE 331 ATLANTA, GA 30329 (404) 727-5159 |
| 1255547907 | CAROLYN KAY CLEVENGER N.P. Individual | Nurse Practitioner (Gerontology) | 12 EXECUTIVE PARK DR NE SUITE 504 ATLANTA, GA 30329 (404) 778-3444 |
| 1437401809 | JESSICA SMITH LCSW Individual | Social Worker (Clinical) | 12 EXECUTIVE PARK DR NE ATLANTA, GA 30329 (404) 778-1427 |
| 1477920148 | AMI ROSEN MS, CGC Individual | Genetic Counselor, MS | 12 EXECUTIVE PARK DR NE STE 511 ATLANTA, GA 30329 (404) 727-3381 |
| 1548614498 | DR. ERIC GLEN STANSHINE M.D., M.B.A. Individual | Student in an Organized Health Care Education/Training Program | 12 EXECUTIVE PARK DR NE SUITE 331 ATLANTA, GA 30329 (404) 727-5157 |
| 1134410418 | DR. YILANG TANG MD, PHD Individual | Psychiatry & Neurology (Psychiatry) | 12 EXECUTIVE PARK DR NE ATLANTA, GA 30329 (404) 727-3886 |
| 1841576709 | MARGARET H GORACY MD Individual | Student in an Organized Health Care Education/Training Program | 12 EXECUTIVE PARK DR NE STE 331 ATLANTA, GA 30329 (404) 712-6934 |
| 1508125741 | LENORA HIGGINBOTHAM M.D. Individual | Psychiatry & Neurology (Neurology) | 12 EXECUTIVE PARK DR NE ATLANTA, GA 30329 (404) 778-3444 |
| 1962860890 | BRITTANY LANNERT PHD Individual | Psychologist | 12 EXECUTIVE PARK DR NE SUITE 300 ATLANTA, GA 30329 (404) 778-4872 |
| 1578858023 | JORDAN E CATTIE Individual | Psychologist (Clinical) | 12 EXECUTIVE PARK DR NE ATLANTA, GA 30329 (404) 778-5526 |
| 1851847990 | DR. ALLISON LEIGH NOGI PT, DPT Individual | Specialist | 12 EXECUTIVE PARK DR NE ATLANTA, GA 30329 (404) 778-3444 |
| 1598860595 | DR. MONICA WILLIS PARKER M.D. Individual | Family Medicine (Geriatric Medicine) | 12 EXECUTIVE PARK DR NE ATLANTA, GA 30329 (404) 728-6363 |
| 1851659049 | CHELSEA AUTUMN HICKERSON M.D. Individual | Psychiatry & Neurology (Psychiatry) | 12 EXECUTIVE PARK DR NE STE 331 ATLANTA, GA 30329 (404) 727-5157 |
| 1295091874 | DR. MARIA CRISTINA POSCABLO-STEIN MD, MPH Individual | Psychiatry & Neurology (Psychiatry) | 12 EXECUTIVE PARK DR NE 3RD FLOOR ATLANTA, GA 30329 (404) 727-1875 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457806622, enumerated in the NPI registry as an "individual" on August 17, 2016
The provider is located at 12 Executive Park Dr Ne Atlanta, Ga 30329 and the phone number is (404) 778-3444
The provider's speciality is Physical Therapist with taxonomy code 2251N0400X with a focus in Neurology
The provider has more than 10 years of experience.
The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 17, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.