WALLACE ROY ANDERSON III MD
NPI 1467080762
Emergency Medicine in Greenville, SC
About Wallace Roy Anderson Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALLACE ROY ANDERSON III MD (NPI 1467080762) is an individual emergency medicine provider in Greenville, South Carolina, licensed in South Carolina (84465) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Oconee Memorial Hospital, and is a graduate of Mercer University School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Wallace Roy Anderson Iii Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Wallace Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenville, SC 29605
- Reassigned Medicare billing, South Carolina enrollment
- 3,281 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.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prisma Health Oconee Memorial Hospital
Acute Care Hospitals · Seneca, SCPrisma Health Baptist Easley Hospital
Acute Care Hospitals · Easley, SCPrisma Health Greer Memorial Hospital
Acute Care Hospitals · Spartanburg, SCPrisma Health Hillcrest Hospital
Acute Care Hospitals · Simpsonville, SCPrisma Health Greenville Memorial Hospital
Acute Care Hospitals · Greenville, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29605 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.
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 Wallace Anderson's NPI number?
The NPI number for Wallace Anderson is 1467080762. It was assigned to this individual provider in the NPPES registry on March 31, 2020.
Where is Wallace Anderson located?
Wallace Anderson practices at 701 Grove Rd Fl 1, Greenville, SC 29605. The listed phone number is (864) 455-7899.
What is Wallace Anderson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Wallace Anderson enrolled in Medicare?
Yes. Wallace Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Wallace Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wallace Anderson reassigns Medicare benefits to Prisma Health University Medical Group (Greenville, 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 Wallace Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Wallace Anderson affiliated with any hospitals?
According to CMS data, Wallace Anderson is affiliated with Prisma Health Oconee Memorial Hospital, Prisma Health Baptist Easley Hospital, Prisma Health Greer Memorial Hospital, Prisma Health Hillcrest Hospital and Prisma Health Greenville Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Wallace Anderson was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Wallace Roy Anderson III, MD · NPI 1467080762
Emergency Medicine physician in Greenville, South Carolina. Individual provider, active in the CMS NPPES registry since March 31, 2020.
## Identity
- **NPI:** 1467080762 (Entity type: Individual)
- **Enumerated:** March 31, 2020
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 84465 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 GROVE RD FL 1, Greenville, SC 29605-4210
- **Phone:** (864) 455-7899 · **Fax:** (864) 455-5474
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Prisma Health University Medical Group (NPI 1053786483, Greenville, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Mercer University School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** July 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1467080762) · Data from the CMS NPPES public registry.