Wallace Thomas, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

ME126338 Issued in FL

Practice address

305 Memorial Medical Pkwy Ste 307
Daytona Beach, FL 32117-5169

Phone

(386) 231-4351

Fax

(386) 231-3517

NPI assigned

Nov 12, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL, TX, FL, NY4 enrollments

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 4

Specialty

Pulmonary DiseaseAlso: Internal Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
• AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
• Adventhealth Deland Hospital, Deland, FL, CCN 100045
• Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014
• Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 52)

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14267/brand/6/csg/1/fhir/r4
• Direct secure messaging: wthomas230350@direct.shands.ufl.edu

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.

• Florida Hospital Healthcare Partners, Inc

  • Internal Medicine Physician
  • Daytona Beach, FL
  • NPI 1780100529

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Adventist Health System-Sunbelt Inc

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1083692594

  Multi-Specialty

  Medicare reassignment NPD
• Adventist Health System-Sunbelt Inc

  • Family Medicine Physician
  • Wauchula, FL
  • NPI 1578725941

  Multi-Specialty

  Medicare reassignment NPD
• Cogent Healthcare of Jacksonville, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1124252333

  Multi-Specialty

  Medicare reassignment NPD
• Florida Hospital Medicine Services, LLC.

  • Hospitalist Physician
  • Boca Raton, FL
  • NPI 1508873183

  Multi-Specialty

  Medicare reassignment NPD
• Hni Medical Services of Florida, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1679048284

  Multi-Specialty

  Medicare reassignment NPD
• Hospital Medicine Services of FL, LLC

  • Hospitalist Physician
  • Aventura, FL
  • NPI 1710684857

  Multi-Specialty

  Medicare reassignment NPD
• Jupiter Medical Center Physicians Group Inc

  • Cardiovascular Disease Physician
  • Jupiter, FL
  • NPI 1396992475

  Multi-Specialty

  Medicare reassignment NPD
• Lakeland Regional Health Systems, Inc.

  • Multi-Specialty Clinic/Center
  • Lakeland, FL
  • NPI 1497748743
  Medicare reassignment NPD
• Northeast Florida Hospitalists Inc

  • Hospitalist Physician
  • Delray Beach, FL
  • NPI 1013036219

  Multi-Specialty

  Medicare reassignment NPD
• Premier Inpatient Partners LLC

  • Hospitalist Physician
  • Naples, FL
  • NPI 1568916492

  Multi-Specialty

  Medicare reassignment NPD
• Santa Rosa HB Medical Services LLC

  • Emergency Medicine Physician
  • Milton, FL
  • NPI 1982384988

  Multi-Specialty

  Medicare reassignment NPD

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

• Adventhealth Palm Coast Parkway Inc

  • General Acute Care Hospital
  • Palm Coast, FL
  • NPI 1861102345
  Care Compare affiliation
• Memorial Health Systems Inc

  • General Acute Care Hospital
  • Daytona Beach, FL
  • NPI 1063426823
  Care Compare affiliation
• Memorial Health Systems Inc

  • Clinical Medical Laboratory
  • Daytona Beach, FL
  • NPI 1104696178

  Hospital

  Care Compare affiliation
• Memorial Hospital Flagler Inc

  • General Acute Care Hospital
  • Palm Coast, FL
  • NPI 1679678486
  Care Compare affiliation
• Memorial Hospital-West Volusia Inc

  • General Acute Care Hospital
  • Deland, FL
  • NPI 1649367269
  Care Compare affiliation
• Southeast Volusia Healthcare Corporation

  • General Acute Care Hospital
  • New Smyrna Beach, FL
  • NPI 1871977942
  Care Compare affiliation

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1831490432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10936 NW 41ST DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330657762",
            "telephone_number": "561-201-3234",
            "fax_number": "320-238-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PKWY STE 307",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175169",
            "telephone_number": "386-231-4351",
            "fax_number": "386-231-3517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Executive Center Dr",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334014842",
            "country_code": "US",
            "telephone_number": "561-201-3234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "WALLACE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-12",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "308521",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME126338",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME126338",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "AL",
            "license": "ME126338",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME126338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018564000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mack Thomas III
• Sandra Leah Thomas, RN
• Sarah T Thomas, RPT
• Tamara Thomas, CRNA
• Teala M Thomas, CRNA
• David J Thompson, MD
• Zanquisha Laveisha Thompson
• Laura Ann Thornton
• Andrea Jennifer Thorpe, MD
• Justina Threadgill

• Pulmonary Disease Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.

Verify at the official NPI Registry.