ELIZABETH MARY WALLIS M.D.
NPI 1023344025
Pediatrics in Charleston, SC
About Elizabeth Mary Wallis M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH MARY WALLIS M.D. (NPI 1023344025) is an individual pediatrics provider in Charleston, South Carolina, licensed in South Carolina (35842) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizabeth Mary Wallis M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elizabeth Wallis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charleston, SC 29425
- Reassigned Medicare billing, South Carolina enrollment
- 2,594 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLESTON, SC 29425
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elizabeth Wallis's NPI number?
The NPI number for Elizabeth Wallis is 1023344025. It was assigned to this individual provider in the NPPES registry on October 26, 2009.
Where is Elizabeth Wallis located?
Elizabeth Wallis practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.
What is Elizabeth Wallis's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Elizabeth Wallis enrolled in Medicare?
Yes. Elizabeth Wallis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Elizabeth Wallis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Wallis reassigns Medicare benefits to University Medical Associates Of The Medical University Of South Carol (Charleston, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Wallis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elizabeth Wallis accept?
Health plans from First Choice Next and UnitedHealthcare list Elizabeth Wallis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Elizabeth Wallis was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Elizabeth Mary Wallis, M.D. · NPI 1023344025
Pediatrics physician in Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since October 26, 2009.
## Identity
- **NPI:** 1023344025 (Entity type: Individual)
- **Enumerated:** October 26, 2009
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 35842 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 171 ASHLEY AVE, Charleston, SC 29425-8908
- **Phone:** (843) 792-1414
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Medical Associates Of The Medical University Of South Carol (NPI 1013934629, Charleston, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 14, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1023344025) · Data from the CMS NPPES public registry.