DR. ROBERT G. WALLACE M.D.
NPI 1780015610
Radiology - Diagnostic Radiology in Fortson, GA
NPI Status: Active since December 03, 2013
Contact Information
1130 GOAT ROCK ROAD
FORTSON, GA
ZIP 31808
Phone: (706) 323-6485
Fax: (706) 596-2025
- Individual
- Male
- Radiology
- Diagnostic Radiology
About ROBERT WALLACE
This page provides the complete NPI Profile along with additional information for Robert Wallace, a provider established in Fortson, Georgia with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1780015610 assigned on December 2013. The practitioner's primary taxonomy code is 2085R0202X with license number 13317 (GA). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1780015610
- Provider Name
- DR. ROBERT G. WALLACE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1130 GOAT ROCK ROAD FORTSON, GA 31808
- Location Phone
- (706) 323-6485
- Location Fax
- (706) 596-2025
- Mailing Address
- P.O. BOX 2787 COLUMBUS, GA 31902
- Mailing Phone
- (706) 323-6485
- Mailing Fax
- (706) 596-2025
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-03-2013
- Last Update Date
- 12-03-2013
- 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
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 13317
- License State
- GA
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085N0904X | Allopathic & Osteopathic Physicians | Radiology | 13317 (GA) |
| 2 | 2085U0001X | Allopathic & Osteopathic Physicians | Radiology | 13317 (GA) |
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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 | 7 | 8 | 0 | 0 | 1 | 5 | 6 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 16 | 0 | 0 | 1 | 10 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 6 + 0 + 0 + 1 + 1 + 0 + 6 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1780015610 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780015610, enumerated in the NPI registry as an "individual" on December 03, 2013
The provider is located at 1130 Goat Rock Road Fortson, Ga 31808 and the phone number is (706) 323-6485
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
This NPI record was last updated on December 03, 2013. 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].
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