NPPES file of Aug 9, 2026

Candice E. Wallace, MD

Emergency Medical Services (Emergency Medicine) Physician · Lawrenceville, GA

Candice E. Wallace, MD is an emergency medical services (emergency medicine) physician with a practice address in Lawrenceville, Georgia, and NPI 1881730687, issued on Jan 29, 2007. Check the license (Georgia 030918, as entered in NPPES) on the Georgia Composite Medical Board; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1881730687
Name
Candice E. Wallace
Credential
MD
Primary taxonomy
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
License number
030918 GA
Self-reported in NPPES; status is on the state search
Practice location
1000 Medical Center Blvd, Lawrenceville, GA 30045
Phone
(678) 442-3317
Enumerated
Jan 29, 2007
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(678) 442-4416
Medicaid ID
00405468D GA
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 1000 Medical Center Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Valerie Amatriain, F.N.PFamily Nurse Practitioner1467669473
  2. Allison Anderson, P.A-CPhysician Assistant1639124233
  3. Frances Archer, CRNACertified Registered Nurse Anesthetist1275562803
  4. Eric Asihene, PAAAAnesthesiologist Assistant1447286083
  5. Joel Bailey, MDEmergency Medicine Physician1578691416
  6. Punam Bhanot, MDAnatomic Pathology Physician1205891793

Verify Candice E. Wallace in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersGeorgia Composite Medical Board
    Search for license 030918
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Georgia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Candice E. Wallace among 67 emergency medical services (emergency medicine) physician records in Georgia

Candice E. Wallace, MD is one of 67 emergency medical services (emergency medicine) physician records with a practice address in Georgia. 66% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2007, is newer than 60% of them.

  • NPI issued2007 · 60% of these records are older, 33% newer
  • In a Medicare fileNo · 66% of these records are
  • In the CMS Doctors and Clinicians fileNo · 46% of these records are
  • Record last updated2007 · 55% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207PE0004X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Emergency Medical Services (Emergency Medicine) Physician providers in Georgia

There are 67 emergency medical services (emergency medicine) physician records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 emergency medical services (emergency medicine) physician records with the nearest ZIP codes

  1. Stephen Hodes, MDLawrenceville, GA 300451962577502
  2. Steven Leuallen, MDLawrenceville, GA 300451942346838
  3. Nima Bahraini, M.D.Lawrenceville, GA 300461275851578
  4. Donald Dalbey, M.D.Cumming, GA 300411437393667
  5. Rita Udom, MDMarietta, GA 300621710506233
  6. Samuel Lorenzo, MDRoswell, GA 300761316032881
  7. Angela Mattke, MDConyers, GA 300121083672786
  8. Vanesha GatewoodMarietta, GA 300081346041514

Common questions

What is Candice E. Wallace, MD's NPI number?

Candice E. Wallace, MD's National Provider Identifier (NPI) is 1881730687, issued on Jan 29, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Candice E. Wallace, MD located?

The NPPES record lists a practice address at 1000 Medical Center Blvd, Lawrenceville, GA, 30045. Phone: (678) 442-3317. Providers update this record themselves, so call before visiting.

How can I verify Candice E. Wallace, MD's license?

NPPES lists Georgia license number 030918, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.