Wallace Jennings Horne, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

0101034381 Issued in VA

Practice address

800 Tilghman Dr
Dunn, NC 28334-5510

Phone

(910) 694-1000

Fax

(910) 891-6030

NPI assigned

Nov 11, 2005

Last updated

Nov 8, 2011By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• CMH ER Physicians, LLC

  • Emergency Medicine Physician
  • South Hill, VA
  • NPI 1942263991
  NPD (past)
• CMH Physician Services, LLC

  • Hospitalist Physician
  • South Hill, VA
  • NPI 1386028793
  NPD (past)
• CMH Womens Health Services LLC

  • Obstetrics & Gynecology Physician
  • South Hill, VA
  • NPI 1932266236
  NPD (past)
• Community Memorial Hospital

  • Hospitalist Physician
  • South Hill, VA
  • NPI 1891014015
  NPD (past)

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1659352052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1706",
            "address_2": "800 TILGHMAN DRIVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283351706",
            "telephone_number": "910-694-1000",
            "fax_number": "910-891-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 TILGHMAN DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345510",
            "telephone_number": "910-694-1000",
            "fax_number": "910-891-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNE",
        "first_name": "WALLACE",
        "middle_name": "JENNINGS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101034381",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101034381",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5869862",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Hicks
• Holistic Options for Mental Excellence, PLLC
• Joanna Holleman, OTD/R/L
• Ashley Nicole Hoover, PA-C
• Kimberly Anne Horne, RN
• Hospice of Harnett County, Inc.
• Hospital Pharmacy
• Hospital Pharmacy Inc
• Hospitalist Medicine Physicians of Harnett County, PLLC
• Paige Thomas Houston, PHARM. D.

• Emergency Medicine Physician in Dunn, NC
• Providers in Dunn, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.