Individual provider Active NPI

Meshia Kerry-Ann Wallace, MD

  • Pulmonary Disease Physician
  • Opelika, AL
National Provider Identifier
1659635472
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD.36982 Issued in AL
Practice address
2412 Village Professional Dr S
Opelika, AL 36801
Phone
(334) 528-6670
Fax
(334) 528-6671
NPI assigned
Jun 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.36982 AL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD.36982 AL
Pulmonary Disease Physician 207RP1001X MD.36982 AL Primary

Addresses

Primary practice location

2412 Village Professional Dr S
Opelika, AL 36801

Mailing address

2412 Village Professional Dr S
Opelika, AL 36801-4742
Phone (334) 528-6670

Other identifiers 1

IdentifierTypeStateIssuer
219026MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20181105001290 AL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 7012156672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The East Alabama Health Care AuthorityGroup PAC ID 3072403237, 119 clinicians

Practice addresses (Care Compare)

2422 Village Professional Dr
Opelika, AL 36801-2378
Phone (334) 528-6800

Hospital & facility affiliations

  • The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029
  • Eamc - Lanier Hospital, Valley, AL, CCN 010780
  • Russell Medical Center Hospital, Alexander City, AL, CCN 010065

Merit-based Incentive Payment System (MIPS)

Final score
86.26 of 100Reported as group
Quality
78.94
Promoting interoperability
100
Improvement activities
40
Cost
72.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.36982ALMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The East Alabama Health Care Authority CurrentSince Aug 1, 2018 Accepting new patients
The East Alabama Health Care Authority Current Accepting new patients
The East Alabama Health Care Authority CurrentSince Aug 1, 2018 Accepting new patients
Emergency Medicine South Past Accepting new patients

Locations

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

2422 Village Professional Dr
Opelika, AL 36801
Phone (334) 528-6800

2412 Village Professional Dr S
Opelika, AL 36801
Phone (334) 528-6670

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.181001
  • FHIR API: https://fhir-myrecord.cerner.com/r4/c5013bf3-ebba-4bda-8574-ed83da9e1633/

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.

Hospital & facility affiliations 3

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1659635472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 VILLAGE PROFESSIONAL DR S",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014742",
            "telephone_number": "334-528-6670",
            "fax_number": "334-528-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 VILLAGE PROFESSIONAL DR S",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "36801",
            "telephone_number": "334-528-6670",
            "fax_number": "334-528-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "MESHIA",
        "middle_name": "KERRY-ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.36982",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AL",
            "license": "MD.36982",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AL",
            "license": "MD.36982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219026",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.