Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Austin William Wallace

Individual provider Orthopaedic Surgery Physician · NPI 1063901023

Dr. Austin William Wallace is an Orthopedic Surgery in Savannah, Georgia. Qualified in 2018, 8 years ago. Practices with Optim Orthopedics Trauma LLC, a 2-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
8
Licensed in
FL, GA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

210 E Derenne Ave
Savannah, GA 31405-6736
Phone: (912) 644-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3450 Hull Rd, Gainesville, FL 32607-4144 — (352) 273-7001
  • 1600 Sw Archer Rd, Gainesville, FL 32610-4144 — (352) 273-7002

Specialties & licences

Orthopaedic Trauma Physician (primary) Taxonomy 207XX0801X · Licence 101390 (GA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence ME163050 (FL)
Orthopaedic Trauma Physician Taxonomy 207XX0801X · Licence ME163050 (FL)

Record details

NPI number1063901023
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 5, 2018
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Optim Orthopedics Trauma Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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