Individual provider Active NPI

Dana J Wallace, M.D.

  • Ophthalmology Physician
  • Sandy Springs, GA
National Provider Identifier
1659548543
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
68018 Issued in GA
Practice address
5995 Barfield Rd
Sandy Springs, GA 30328-4411
Phone
(404) 256-1507
Fax
(404) 256-1981
NPI assigned
May 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 68018 GA Primary

Addresses

Primary practice location

5995 Barfield Rd
Sandy Springs, GA 30328-4411

Mailing address

5901A Peachtree Dunwoody Rd
Ste 500
Atlanta, GA 30328-5341
Phone (678) 892-2020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address djwallace@teg.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120905000562 GA Practitioner - Ophthalmology 8022169291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Duke University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas Eye Group PCGroup PAC ID 2567455868, 51 clinicians

Practice addresses (Care Compare)

11690 Alpharetta Hwy
Roswell, GA 30076-3805
Phone (770) 475-5515

5995 Barfield Rd
Sandy Springs, GA 30328-4411
Phone (404) 256-1507

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
68018GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Eye Surgery Center of Fayette Current Accepting new patients
Thomas Eye Group PC CurrentSince Sep 17, 2012 Accepting new patients
Thomas Eye Surgery Center LLC Current Accepting new patients
Thomas Eye Group PC Ophthalmology CurrentSince Sep 17, 2012 Accepting new patients
Thomas Eye Group PC Ophthalmology Current Accepting new patients
Southeast Eye Specialists PLLC Ophthalmology Past Accepting new patients
Southeast Eye Specialists PLLC Ophthalmology Past Accepting new patients

Locations

11690 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 475-5515

5901 Peachtree Dunwoody Rd
Ste 500
Sandy Springs, GA 30328
Phone (678) 781-7373

5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507

Interoperability endpoints

  • Direct secure messaging: djwallace@teg.emadirect.md

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1659548543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901A PEACHTREE DUNWOODY RD",
            "address_2": "STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285341",
            "telephone_number": "678-892-2020",
            "fax_number": "678-538-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 BARFIELD RD",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284411",
            "telephone_number": "404-256-1507",
            "fax_number": "404-256-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "DANA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-11",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "68018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "djwallace@teg.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "5995 Barfield Rd",
            "city": "Sandy Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303284411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.