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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Michelle Wallace, M.D.

Pediatric Cardiology Physician in Stockbridge, GA · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316111719

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Registry record

Entity type Individual (Type 1)
Name Dr. Michelle Wallace
Credential M.D.
Sex Female
Practice address 202 Village Center Pkwy, Stockbridge, GA, 30281
Phone (404) 256-2593
Fax (770) 488-9408
Enumeration date Apr 16, 2008
Last updated in NPPES Apr 30, 2026

Taxonomy & licenses

2080P0202X Pediatric Cardiology Physician Allopathic & Osteopathic Physicians · License 064090 (GA) Primary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 141727 (NC) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Michelle Wallace?
Michelle Wallace is registered in NPPES with the primary taxonomy of Pediatric Cardiology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-30.