Tonialatoya Wallace-Eley, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

ME101987 Issued in FL

Practice address

6201 N Suncoast Blvd
Crystal River, FL 34428-6712

Phone

(352) 795-6560

Fax

(770) 776-5966

NPI assigned

Apr 11, 2008

Last updated

Jul 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tonialatoya Wallace Former name

Medicare fee-for-service enrollment

Enrolled in FL, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Pathology

Education

Medical University of South Carolina College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Pathology Group PAGroup PAC ID 0547277246, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carolina East Medical Center Hospital, New Bern, NC, CCN 340131
• Carteret General Hospital Hospital, Morehead City, NC, CCN 340142
• Indiana University Health Hospital, Indianapolis, IN, CCN 150056

Merit-based Incentive Payment System (MIPS)

Final score

90.24 of 100Reported as group

Quality

91.31

Improvement activities

40

Cost

79.05

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: teley20588@carolinaeastmc.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlantic Pathology Group, PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Rocky Mount, NC
  • NPI 1356301725
  Medicare reassignment Care Compare group NPD
• Tamarac Pathology Group PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Crystal River, FL
  • NPI 1427019108
  Medicare reassignment NPD
• App-Ecp, LLC

  dba Eastern Carolina Pathology

  • Clinical Medical Laboratory
  • Wilson, NC
  • NPI 1578708368
  Medicare reassignment NPD
• Carolinaeast Physicians

  • Cardiovascular Disease Physician
  • New Bern, NC
  • NPI 1104066794
  Medicare reassignment NPD
• Bikkasani Ram Hellstern and Chandrupatla Mdpa

  • Gastroenterology Physician
  • Crystal River, FL
  • NPI 1366651531
  Medicare reassignment
• Carolinaeast Physicians

  • Obstetrics & Gynecology Physician
  • New Bern, NC
  • NPI 1619868981
  NPD
• Carolinaeast Physicians

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • New Bern, NC
  • NPI 1770852899
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carolinaeast Medical Center

  • General Acute Care Hospital
  • New Bern, NC
  • NPI 1801852835
  Care Compare affiliation
• Carteret County General Hospital Corporation

  dba Carteret General Hospital

  • General Acute Care Hospital
  • Morehead City, NC
  • NPI 1760479331
  Care Compare affiliation
• Indiana University Health Inc

  dba Indiana University Health

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1144266024
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1093988933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2030",
            "city": "HOMOSASSA SPRINGS",
            "state": "FL",
            "postal_code": "344472030",
            "telephone_number": "352-621-3100",
            "fax_number": "352-621-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 N SUNCOAST BLVD",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344286712",
            "telephone_number": "352-795-6560",
            "fax_number": "770-776-5966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1431 SW 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344716500",
            "country_code": "US",
            "telephone_number": "352-401-1539",
            "fax_number": "352-732-0795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE-ELEY",
        "first_name": "TONIALATOYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME101987",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "4301089191",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICAL LICENSES",
            "identifier": "ME101987",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONIALATOYA",
            "last_name": "WALLACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Raquel Villar Machado, DMD
• Jocelyn Elise Vincent, ARNP
• Vision Specialty Associates, P.a. (Vision Specialty Assoc., P.a. #11)
• W4P LLC
• Walgreen Co (Walgreens #05338)
• Tammy K Wallen
• Barrett Jeffrey Wallis, MD
• Robert S. Wane, DPM
• Shahedra Ward-King
• Robin Warnberg, LCSW

• Anatomic Pathology & Clinical Pathology Physician in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.