DR. MATHEW CARY WALLACE M.D.
NPI 1306945829
Psychiatry & Neurology - Pain Medicine in Montgomery, AL

Active since September 21, 2006PECOS Enrolled
4228 LOMAC ST STE 2, MONTGOMERY, AL 36106(919) 928-2351 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2024, Sep 30, 2020 (2 updates tracked since 2020).

About Dr. Mathew Cary Wallace M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATHEW CARY WALLACE M.D. (NPI 1306945829) is an individual pain medicine provider in Montgomery, Alabama, licensed in Alabama (MD.29202) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306945829
Entity TypeIndividualMale
Primary Taxonomy2084P2900X
Provider Legal NameDR. MATHEW CARY WALLACECredential: M.D.
Location Address4228 LOMAC ST STE 2Montgomery, AL 36106-2929
Mailing Address4228 Lomac St Ste 2Montgomery, AL 36106-2929 · (919) 928-2351
Sole ProprietorYes
Enumeration DateSeptember 21, 2006
Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
NPI 1306945829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084P2900X
License Licensed in AL · MD.29202
Definition
A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
4228 LOMAC ST STE 2, Montgomery, AL 36106

Other Names 1

Former Name (1)Mathew Cary Wallack Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mathew Cary Wallace M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Pain Medicine)
4228 LOMAC ST STE 2
MONTGOMERY, AL 36106

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 Mathew Wallace's NPI number?

The NPI number for Mathew Wallace is 1306945829. It was assigned to this individual provider in the NPPES registry on September 21, 2006. The provider is also known as Mathew Cary Wallack MD.

Where is Mathew Wallace located?

Mathew Wallace practices at 4228 Lomac St Ste 2, Montgomery, AL 36106. The listed phone number is (919) 928-2351.

What is Mathew Wallace's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Pain Medicine, with taxonomy code 2084P2900X.

Is Mathew Wallace enrolled in Medicare?

Yes. Mathew Wallace is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mathew Wallace was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.