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STEPHENIE B WALLACE M.D.
NPI 1417977646
Pediatrics - Adolescent Medicine in Birmingham, AL

Active since July 20, 2006PECOS Enrolled
1600 7TH AVE S, BIRMINGHAM, AL 35233(205) 939-9345(205) 975-7307 Get Directions Write a Review

NPPES record last updated: January 13, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephenie B Wallace M.d. NPPES

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

STEPHENIE B WALLACE M.D. (NPI 1417977646) is an individual adolescent medicine provider in Birmingham, Alabama, licensed in Alabama (25999) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417977646
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameSTEPHENIE B WALLACECredential: M.D.
Location Address1600 7TH AVE SBirmingham, AL 35233-1711
Mailing Address703 Volker HallBirmingham, AL 35294-0001 · (205) 939-9345 · Fax (205) 975-7307
Phone(205) 939-9345
Fax(205) 975-7307
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateJanuary 13, 2011
✔ NPI 1417977646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in AL · 25999
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1600 7TH AVE S, Birmingham, AL 35233
Open in Google Maps ↗

Other Identifiers 5

Medicaid009958245AL
Medicare UPINI14396
Medicare ID-Type Unspecified51522765
Medicare ID-Type Unspecified51522767
Medicaid009958265AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephenie B 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 20

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

MRS. APRIL HOOPER WEATHERLY CRNP
Nurse Practitioner (Acute Care)
1600 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 939-9175
ROBERT PATRICK RICHTER M.D.
Pediatrics (Pediatric Critical Care Medicine)
1600 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9100
MS. CARLY RAE HAWKINS CRNP
Nurse Practitioner
1600 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9285
DR. MARY ORR M.D.
Hospitalist
1600 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9100
MRS. LAURA NIEMANN OTR/L
Rehabilitation Unit
1600 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9565
AMY URBAN CRNP
Nurse Practitioner (Pediatrics)
1600 7TH AVE S, LOWDER BLDG., SUITE 618
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9918
STEPHANIE BERGER MD
Pediatrics
1600 7TH AVE S, MCWANE BUILDING SUITE 108
BIRMINGHAM, AL 35233
Jefferson County (205) 638-2904
SULA MCELROY GILLESPIE CRNP
Nurse Practitioner (Pediatrics)
1600 7TH AVE S, CHILDRENS OF ALABAMA
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9144

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 Stephenie Wallace's NPI number?

The NPI number for Stephenie Wallace is 1417977646. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Stephenie Wallace located?

Stephenie Wallace practices at 1600 7th Ave S, Birmingham, AL 35233. The listed phone number is (205) 939-9345.

What is Stephenie Wallace's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Stephenie Wallace enrolled in Medicare?

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

What insurance does Stephenie Wallace accept?

Health plans from Blue Cross and Blue Shield of Alabama list Stephenie Wallace 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 Stephenie Wallace was last updated on January 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.