Active NPI
Meshia Kerry-Ann Wallace, MD
- Pulmonary Disease Physician
- Opelika, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD.36982
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 219026 | Medicaid | AL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2422 Village Professional Dr
Opelika, AL 36801-2378
Phone (334) 528-6800
Hospital & facility affiliations
- The East Alabama Healthcare Authority
- Eamc - Lanier
- Russell Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.26 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD.36982 | AL | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The East Alabama Health Care Authority | Current | Accepting new patients | |
| The East Alabama Health Care Authority | Current | Accepting new patients | |
| The East Alabama Health Care Authority | Current | 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
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.181001
- 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.
-
- General Acute Care Hospital
- Opelika, AL
- NPI 1073685483
-
- General Acute Care Hospital
- Opelika, AL
- NPI 1154386431
-
- Community/Retail Pharmacy
- Opelika, AL
- NPI 1215089305
-
- Emergency Medical Services (Emergency Medicine) Physician
- Opelika, AL
- NPI 1629120712
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexander City, AL
- NPI 1811913460
-
- General Acute Care Hospital
- Opelika, AL
- NPI 1154386431
-
- General Acute Care Hospital
- Valley, AL
- NPI 1780235002
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.