Stephanie Wallace, NP
Stephanie Wallace, NP is a Nurse Practitioner in Athens, GA, registered under NPI 1124087879. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 1230 BAXTER ST, Athens, GA 30606. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| RN136273 | GA | Nurse Practitioner primary |
| RN136273 | GA | Family Nurse Practitioner |
| RN136279 | GA | Women's Health Nurse Practitioner |
| RN136273 | GA | Psychiatric/Mental Health Nurse… |
This provider holds licence RN136273 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 3274565072
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Nurse Practitioner covers
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. NUCC Health Care Provider Taxonomy, code 363L00000X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN136273 | GA | primary |
| 363LF0000X | Family Nurse Practitioner Family | RN136273 | GA | |
| 363LW0102X | Women's Health Nurse Practitioner Women's Health | RN136279 | GA | |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | RN136273 | GA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1124087879 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 21, 2006 |
| Last updated | Mar 5, 2026 |
| Status | Active |
| Sole proprietor | No |
| Credential | NP |
| Practice address |
1230 BAXTER ST Athens, GA 30606 (706) 389-2273 Fax (706) 389-2298 |
| Mailing address |
PO BOX 48089 Athens, GA 30604 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 2 | 4 | 0 | 8 | 7 | 8 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 4 | 4 | 0 | 8 | 5 | 8 | 5 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.