MRS. VICKI JO WALLIS MD
NPI 1689623142
Pediatrics in Gadsden, AL

Q: What is Vicki Wallis's NPI number?

The NPI number for Vicki Wallis is 1689623142. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Q: What is Vicki Wallis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Vicki Wallis was last updated on June 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 10, 2006PECOS Enrolled

829 RIVERBEND DR, GADSDEN, AL 35901(256) 546-4611(256) 546-2214 Get Directions Write a Review

NPPES record last updated: June 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mrs. Vicki Jo Wallis Md NPPES

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

MRS. VICKI JO WALLIS MD (NPI 1689623142) is an individual pediatrics provider in Gadsden, Alabama, licensed in Alabama (22626) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689623142

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMRS. VICKI JO WALLISCredential: MD

Location Address829 RIVERBEND DRGadsden, AL 35901-2556

Mailing Address829 Riverbend DrGadsden, AL 35901-2556 · (256) 546-4611 · Fax (256) 546-2214

Phone(256) 546-4611

Fax(256) 546-2214

Sole ProprietorNo

Enumeration DateMay 10, 2006

Last NPPES UpdateJune 5, 2013

✔ NPI 1689623142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AL · 22626

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

829 RIVERBEND DR, Gadsden, AL 35901

Open in Google Maps ↗

Other Identifiers 2

Medicare UPINH17754

Medicaid114331AL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Vicki Jo Wallis Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

AMBER LEWIS CRNP

Nurse Practitioner (Pediatrics)