Doctor profile · Federal record

Dr. Heather Wallace

Gerontology Nurse Practitioner · Nurse Practitioner · Macon, GA

  • NPI 1053856427
  • 10 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
535 Coliseum Dr
Macon, GA 312170104
(478) 972-0277
Mailing address
Po Box 26698
Macon, GA 312216698

Credentials & registration

NPPES · NUCC
NPI registered
December 2016 — 10 yrs on file
Profile last updated
December 27, 2016
Specialty taxonomy
363LG0600X — NUCC code
State license (1)
Georgia #RN197918

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1053856427. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$28
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Mindray Ds USA, INC. 1 $27.50

By nature of payment

Food and Beverage
$28

Frequently asked questions

Auto-generated from federal data
What is Dr. Heather Wallace's medical specialty?
Dr. Heather Wallace practices Gerontology Nurse Practitioner in Macon, GA.
Where does Dr. Heather Wallace practice?
Dr. Heather Wallace practices at 535 Coliseum Dr, Macon, GA 312170104. Office phone: 4789720277.
What is Dr. Heather Wallace's NPI?
Dr. Heather Wallace's National Provider Identifier (NPI) is 1053856427, issued by NPPES.