DOUGLASS MICHAEL WALLACE MD
NPI 1881657989
Emergency Medicine in Greenville, SC

Q: What is Douglass Wallace's NPI number?

The NPI number for Douglass Wallace is 1881657989. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Q: What is Douglass Wallace's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglass Wallace was last updated on October 11, 2022. 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.

Active since April 10, 2006PECOS Enrolled

701 GROVE RD FL 1, GREENVILLE, SC 29605(864) 455-7899(864) 455-5474 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2022, Jan 12, 2021 (2 updates tracked since 2021).

On this page

About Douglass Michael Wallace Md NPPES

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

DOUGLASS MICHAEL WALLACE MD (NPI 1881657989) is an individual emergency medicine provider in Greenville, South Carolina, licensed in South Carolina (26820) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Spartanburg.

NPPES Registry Identity

NPI1881657989

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDOUGLASS MICHAEL WALLACECredential: MD

Location Address701 GROVE RD FL 1Greenville, SC 29605-4210

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842

Phone(864) 455-7899

Fax(864) 455-5474

Sole ProprietorNo

Enumeration DateApril 10, 2006

Last NPPES UpdateOctober 11, 20222 updates tracked since enumeration

NPPES CertifiedOctober 11, 2022

✔ NPI 1881657989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in SC · 26820✔ Licensed in NC · 200301073

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

701 GROVE RD FL 1, Greenville, SC 29605

Open in Google Maps ↗

Secondary Practice Location 1

Location 1101 E Wood StSpartanburg, SC 29303-3040 · Phone (864) 560-7025 · Fax (864) 560-7388

Other Identifiers 5

Other1354RNC · Bcbs

MedicaidQ01075SC

Medicaid891354RNC

OtherP01034006SC · Railroad Medicare

OtherP00282526NC · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next.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)

Douglass Michael Wallace 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 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.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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 20

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

DR. AMBER GIST LANEY MD

Emergency Medicine