NPIMap

Individual provider Active NPI

James P Wallace, MD

  • Internal Medicine Physician
  • Dillon, SC
National Provider Identifier
1487741146
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11072 Issued in SC
Practice address
705 N 8TH Ave
Suite 1a
Dillon, SC 29536-2549
Phone
(843) 774-2478
Fax
(843) 774-1826
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11072 SC Primary

Addresses

Primary practice location

705 N 8TH Ave
Suite 1a
Dillon, SC 29536-2549

Mailing address

PO Box 512
Dillon, SC 29536-0512
Phone (843) 774-2478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817000423 SC Practitioner - Internal Medicine 8628980620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dillon Internal Medicine Associates PAGroup PAC ID 5991617995, 8 clinicians
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

705 N 8TH Ave
Dillon, SC 29536-2549
Phone (843) 774-2478

Hospital & facility affiliations

  • Centerwell Home Health-Pee Dee Home health agency, Florence, SC, CCN 427854
  • McLeod Home Health Inc Home health agency, Florence, SC, CCN 427057
  • Pruitthealth Home Health-Florence Home health agency, Florence, SC, CCN 427129
  • McLeod Medical Center - Dillon Hospital, Dillon, SC, CCN 420005
  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
  • McLeod Loris Hospital Hospital, Loris, SC, CCN 420105
  • Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050
  • Musc Health Marion Medical Center Hospital, Mullins, SC, CCN 420055
  • PruittHealth- Dillon Nursing home, Dillon, SC, CCN 425113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11072SCMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince Jan 13, 2026 Accepting new patients
Dillon Internal Medicine Associates PA Internal Medicine CurrentSince Aug 9, 1984 Accepting new patients
McLeod Physician Associates II Internal Medicine CurrentSince Jan 13, 2026 Accepting new patients
McLeod Physician Associates II Internal Medicine Past Accepting new patients
McLeod Physician Associates II Past Accepting new patients

Locations

705 N 8th Ave
Ste 1A
Dillon, SC 29536
Phone (803) 774-2478

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

Interoperability endpoints

  • Direct secure messaging: jameswallace@dilloninte.allscriptsdirect.net
  • Direct secure messaging: jwallace73735@directmcleodehealth.org
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0900120

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1487741146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295360512",
            "telephone_number": "843-774-2478",
            "fax_number": "843-774-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 N 8TH AVE",
            "address_2": "SUITE 1A",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362549",
            "telephone_number": "843-774-2478",
            "fax_number": "843-774-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "11072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, SC

Sources for this page

Verify at the official NPI Registry.