Wallace Lee Tracy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C7340 Issued in AR

Practice address

1940 S Whitehead Dr
De Witt, AR 72042-2906

Phone

(870) 946-4505

Fax

(870) 946-2428

NPI assigned

Sep 26, 2005

Last updated

Mar 5, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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 1

Specialty

Family Practice

Education

University of Arkansas College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dewitt Hospital and Nursing Home IncGroup PAC ID 2961307616, 10 clinicians

Mid-Delta Health Systems IncGroup PAC ID 3870574668, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dewitt Hospital & Nursing Home, Inc Hospital, De Witt, AR, CCN 040783

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dewitt Hospital & Nursing Home, Inc.

  • Rural Acute Care Hospital
  • De Witt, AR
  • NPI 1972586238
  Medicare reassignment Care Compare group NPD
• Mid-Delta Health Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Clarendon, AR
  • NPI 1255346060
  Medicare reassignment Care Compare group NPD
• Tracy Family Practice Clinic PA

  • Preferred Provider Organization
  • De Witt, AR
  • NPI 1659319150
  Authorized official Same address or phone
• Mid-Delta Health Systems, Inc.

  dba Mid-Delta Health Systems - Stuttgart

  • Federally Qualified Health Center (FQHC)
  • Stuttgart, AR
  • NPI 1205551884
  NPD
• Mid-Delta Health Systems, Inc.

  dba Mid-Delta Health Systems - DeWitt

  • Federally Qualified Health Center (FQHC)
  • De Witt, AR
  • NPI 1053938118
  NPD (past)

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

• Dewitt Hospital & Nursing Home, Inc.

  • Rural Acute Care Hospital
  • De Witt, AR
  • NPI 1972586238
  Care Compare affiliation

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1366438384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 MADISON ST",
            "city": "CLARENDON",
            "state": "AR",
            "postal_code": "720292706",
            "telephone_number": "870-747-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 S WHITEHEAD DR",
            "city": "DE WITT",
            "state": "AR",
            "postal_code": "720422906",
            "telephone_number": "870-946-4505",
            "fax_number": "870-946-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "WALLACE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C7340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Staton, PHARM. D
• Stephen Lloyd Stewart, PA-C
• Tommys Rexall Drug Company Inc
• Tommys Rexall Drug Company Inc.
• Tracy Family Practice Clinic PA
• Van M Dunn
• Holly Chambless Vansandt, PHARM.D
• Howard Dean Watts, P.D.
• Karen Watts, PHARMD
• West Haven Village, LLC

• Family Medicine Physician in De Witt, AR
• Providers in De Witt, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.