Doctor profile · Federal record

Dr. Marlyn Wallace

Nurse Practitioner · Conyers, GA

  • NPI 1144790973
  • Accepts Medicare
  • 9 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3073 Klondike RD Sw
Conyers, GA 300945660
(678) 558-3106

Credentials & registration

NPPES · NUCC
NPI registered
December 2018 — 8 yrs on file
Year of graduation
2017 — 9 yrs since
Specialty taxonomy
363L00000X — NUCC code
State license (1)
Georgia #RN182038

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1144790973. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
115
Distinct HCPCS
5
Medicare allowed
$8,343
HCPCS Description Services Patients Avg allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 35 31 $35
99214 Established patient office or other outpatient visit, 30-39 minutes 32 31 $107
96372 Injection of drug or substance under skin or into muscle 18 18 $12
99203 New patient office or other outpatient visit, 30-44 minutes 16 16 $94
99204 New patient office or other outpatient visit, 45-59 minutes 14 14 $141

In context: peer comparison

Among 5 peers in Conyers Nurse Practitioner, average services per provider: 72. This provider delivers 1.6× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$16
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Exact Sciences Corporation 1 $15.62

By nature of payment

Food and Beverage
$16

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
72
Patients
60
Total drug cost
$514
Drug Type Claims Patients Total cost
Azithromycin Generic 25 25 $106
Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) Brand 19 19 $353
Prednisone Generic 17 16 $25
Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) Brand 11 0 $29

Frequently asked questions

Auto-generated from federal data
What is Dr. Marlyn Wallace's medical specialty?
Dr. Marlyn Wallace practices Nurse Practitioner in Conyers, GA.
Where does Dr. Marlyn Wallace practice?
Dr. Marlyn Wallace practices at 3073 Klondike RD Sw, Conyers, GA 300945660. Office phone: 6785583106.
What is Dr. Marlyn Wallace's NPI?
Dr. Marlyn Wallace's National Provider Identifier (NPI) is 1144790973, issued by NPPES.
Does Dr. Marlyn Wallace accept Medicare assignment?
Yes. Dr. Marlyn Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Marlyn Wallace commonly perform?
Top Medicare-reported procedures in 2023: Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS 87426); Established patient office or other outpatient visit (HCPCS 99214); Injection of drug or substance under skin or into muscle (HCPCS 96372). Source: CMS Medicare Physician & Other Practitioners file.