Active NPI
Wallace Mason Combs II, MD
- Gastroenterology Physician
- Palm Coast, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME55590
- Practice address
- 60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980 - Phone
- (386) 586-2000
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
FL
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
-
- Multi-Specialty Clinic/Center
- Palm Coast, FL
- NPI 1558530600
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1861102345
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Wright State University Boonshoft School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Hospital Healthcare Partners, Inc
Practice addresses (Care Compare)
60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2000
Hospital & facility affiliations
- AdventHealth Palm Coast
- Adventhealth Palm Coast Parkway
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 76 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 61 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080522000319 | FL | Practitioner - Gastroenterology | 1153490750 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Flagler Inc | Current | Accepting new patients | |
| Memorial Hospital Flagler Inc. | Current | Accepting new patients | |
| Florida Hospital Healthcare Partners, Inc | Current | Accepting new patients | |
| Adventhealth Primary Care Network Inc | Past | Accepting new patients |
Locations
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
770 W Granada Blvd
Ste 101
Ormond Beach, FL 32174
Phone (386) 231-4519
120 Pinnacles Dr
Ste 1
Palm Coast, FL 32164
Phone (386) 231-6549
61 Memorial Medical Pkwy
Ste 1-800A
Palm Coast, FL 32164
Phone (386) 586-1810
120 Cypress Edge Dr
Ste 210
Palm Coast, FL 32164
Phone (386) 445-4750
120 Cypress Edge Dr
Ste 102
Palm Coast, FL 32164
Phone (386) 586-4280
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
61 Memorial Medical Pkwy
Ste 3811
Palm Coast, FL 32164
Phone (386) 586-6611
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- wcombs59087@adventhealth.direct-ci.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME55590 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Mailing address
770 W Granada Blvd Ste 101
Ormond Beach, FL 32174-5179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2025.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1437257532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 W GRANADA BLVD STE 101",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 MEMORIAL MEDICAL PKWY",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321645980",
"telephone_number": "386-586-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBS",
"first_name": "WALLACE",
"middle_name": "MASON",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME55590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Collinear Inc
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- Comfortable Care Dental Health Professionals
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- Comfortable Care Dental Health Professionals, PA
- Communication Clinic, LLC
- Complete Care at Home - North Florida, LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.