DOUGLASS MICHAEL WALLACE MD
NPI 1881657989
Emergency Medicine in Greenville, SC
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Douglass Michael Wallace Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Douglass Wallace reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenville, SC 29605
- Reassigned Medicare billing, South Carolina enrollment
- 3,281 clinicians in this Medicare group
Greenville, SC 29615
- Reassigned Medicare billing, South Carolina enrollment
- 735 clinicians in this Medicare group
Greer, SC 29650
- Reassigned Medicare billing, South Carolina enrollment
- 754 clinicians in this Medicare group
Greer, SC 29651
- Reassigned Medicare billing, South Carolina enrollment
- 313 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.
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.
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 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.
Where is Douglass Wallace located?
Douglass Wallace practices at 701 Grove Rd Fl 1, Greenville, SC 29605. The listed phone number is (864) 455-7899.
What is Douglass Wallace's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Douglass Wallace enrolled in Medicare?
Yes. Douglass Wallace is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Douglass Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglass Wallace reassigns Medicare benefits to 4 organizations: Prisma Health University Medical Group (Greenville, SC), Greenville Health System (Greenville, SC), Spartanburg Medical Center (Greer, SC) and Pelham Medical Center (Greer, SC). Each 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 Douglass Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglass Wallace accept?
Health plans from First Choice Next list Douglass 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 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 4 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.
# Douglass Michael Wallace, MD · NPI 1881657989
Emergency Medicine physician in Greenville, South Carolina. Individual provider, active in the CMS NPPES registry since April 10, 2006.
## Identity
- **NPI:** 1881657989 (Entity type: Individual)
- **Enumerated:** April 10, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 26820 (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 in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Prisma Health University Medical Group (NPI 1053786483, Greenville, SC); Greenville Health System (NPI 1568532513, Greenville, SC); Spartanburg Medical Center (NPI 1467407536, Greer, SC); Pelham Medical Center (NPI 1245496983, Greer, SC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 11, 2022
- **Other identifiers:** Other 1354R (NC); Medicaid Q01075 (SC); Medicaid 891354R (NC); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1881657989) · Data from the CMS NPPES public registry.