NPPES file of Aug 9, 2026

Michelle Wallace, M.D.

Pediatric Cardiology Physician · Stockbridge, GA

Michelle Wallace, M.D. is a pediatric cardiology physician with a practice address in Stockbridge, Georgia, and NPI 1316111719, issued on Apr 16, 2008. Check the license (Georgia 064090, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.

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

NPPES recordNPPES file of Aug 9, 2026
1316111719
Name
Michelle Wallace
Credential
M.D.
Primary taxonomy
Pediatric Cardiology Physician 2080P0202X
License numbers
064090 GA
141727 NC
Self-reported in NPPES; status is on the state search
Practice location
202 Village Center Pkwy, Stockbridge, GA 30281
Phone
(404) 256-2593
Enumerated
Apr 16, 2008
Record last updated
Apr 30, 2026
Fax
(770) 488-9408
Medicare enrollment
Enrolled (PECOS I20101208001110); may accept Medicare assignment
Medical or professional school
Morehouse School Of Medicine, 2004
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 202 Village Center Pkwy

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

  1. Ronald Ligon, M.D.Pediatric Cardiology Physician1073759379
  2. Matthew Oster, MDPediatric Cardiology Physician1124159751

Verify Michelle 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 064090
    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

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Bills Medicare through one group practice

  1. Children's Healthcare OF Atlanta Cardiology IncStockbridge, GA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Michelle Wallace among 102 pediatric cardiology physician records in Georgia

Michelle Wallace, M.D. is one of 102 pediatric cardiology physician records with a practice address in Georgia. 53% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 62% of them.

  • NPI issued2008 · 62% of these records are older, 33% newer
  • In a Medicare fileYes · 53% of these records are
  • In the CMS Doctors and Clinicians fileYes · 38% of these records are
  • Graduated2004 · median 2004 among the 39 with a school on file
  • Record last updated2026 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2080P0202X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pediatric Cardiology Physician providers in Georgia

There are 102 pediatric cardiology physician records in Georgia.

The 8 pediatric cardiology physician records with the nearest ZIP codes

  1. David Jones, MDStockbridge, GA 302811245223304
  2. Ronald Ligon, M.D.Stockbridge, GA 302811073759379
  3. Michael McConnell, M.D.Stockbridge, GA 302811679523435
  4. Rachel McKayStockbridge, GA 302811992085468
  5. Anne Ngo Tedga Moche, M.D.Stockbridge, GA 302811922453695
  6. Matthew Oster, MDStockbridge, GA 302811124159751
  7. Albert Tuboku-Metzger, MDStockbridge, GA 302811689606782
  8. Divya Suthar, M.D.Newnan, GA 302651851612261

Common questions

What is Michelle Wallace, M.D.'s NPI number?

Michelle Wallace, M.D.'s National Provider Identifier (NPI) is 1316111719, issued on Apr 16, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Michelle Wallace, M.D. located?

The NPPES record lists a practice address at 202 Village Center Pkwy, Stockbridge, GA, 30281. Phone: (404) 256-2593. Providers update this record themselves, so call before visiting.

How can I verify Michelle Wallace, M.D.'s license?

NPPES lists Georgia license number 064090, 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. Medicare files from data.cms.gov. 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.