Perry Wallace, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

13895 Issued in AL

Practice address

2121 5TH St
Suite 202
Meridian, MS 39301-5108

Phone

(601) 286-3410

Fax

(601) 286-3425

NPI assigned

Jun 21, 2006

Last updated

Nov 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS, AL2 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 2

Specialty

Internal MedicineAlso: Emergency Medicine

Education

University of Mississippi School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rush Hospital/Butler, IncGroup PAC ID 0244498368, shared by 5 NPIs, 15 clinicians

RH Emergency Medicine of Cleveland LLCGroup PAC ID 4183105232, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice Compassus- Mississippi Hospice, MC Comb, MS, CCN 251549
• Ochsner Choctaw General Hospital, Butler, AL, CCN 011304
• Bolivar Medical Center Hospital, Cleveland, MS, CCN 250093
• Ochsner Rush Hospital Hospital, Meridian, MS, CCN 250069
• Ochsner Laird Hospital Hospital, Union, MS, CCN 251322
• Ochsner Scott Regional Hospital, Morton, MS, CCN 251323
• Ochsner Choctaw General Nursing home, CCN 01Z304

Merit-based Incentive Payment System (MIPS)

Final score

86.18 of 100Reported as group

Quality

90.78

Improvement activities

40

Cost

53.55

Merit-based Incentive Payment System (MIPS)

Final score

99.13 of 100Reported as group

Quality

82.94

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

85.18 of 100Reported as group

Quality

78.43

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• bcbs alabama network 01H0
• bcbs alabama network 01C0
• bcbs alabama network 01E0
• bcbs alabama network 01B0
• bcbs alabama network 01G0

Interoperability endpoints

• Direct secure messaging: hgh6162@yourcarecommunity.org

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.

• RH Emergency Medicine of Cleveland LLC

  • Emergency Medicine Physician
  • Cleveland, MS
  • NPI 1144184565
  Medicare reassignment Care Compare group NPD
• Acs Emergency Services of Mississippi Professional Association

  • Emergency Medicine Physician
  • Cleveland, MS
  • NPI 1396996997
  Medicare reassignment NPD
• App of Mississippi Ed, LLC

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1730687740
  Medicare reassignment NPD
• Baptist Medical Center - Yazoo, Inc

  • Critical Access Hospital
  • Yazoo City, MS
  • NPI 1619918075
  Medicare reassignment NPD
• Hancock Emergency Group LLC

  • Emergency Medicine Physician
  • Bay St Louis, MS
  • NPI 1295142396
  Medicare reassignment NPD
• Kemper Cah, Inc.

  dba Ochsner Stennis Hospital Professional Services

  • Emergency Medicine Physician
  • De Kalb, MS
  • NPI 1346546306
  Medicare reassignment NPD
• Kemper Cah, Inc.

  dba Ochsner Stennis Hospital

  • Critical Access Hospital
  • De Kalb, MS
  • NPI 1679875645
  Medicare reassignment NPD
• Laird Hospital, Inc.

  dba Ochsner Laird Hospital

  • Critical Access Hospital
  • Union, MS
  • NPI 1518924752
  Medicare reassignment NPD
• Laird Hospital, Inc.

  dba Ochsner Laird Hospital Professional Services

  • Emergency Medicine Physician
  • Union, MS
  • NPI 1821046798
  Medicare reassignment NPD
• Medical Foundation, Inc.

  • Family Medicine Physician
  • Meridian, MS
  • NPI 1609820539

  Emergency Medicine

  Medicare reassignment NPD
• Rush Medical Foundation

  dba Professional Services Division

  • Anesthesiology Physician
  • Meridian, MS
  • NPI 1588625594
  Medicare reassignment NPD
• Rush Medical Foundation

  dba Ochsner Watkins Hospital

  • Critical Access Hospital
  • Quitman, MS
  • NPI 1912079625
  Medicare reassignment NPD

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

• Horizon Hospice, LLC

  • Community Based Hospice Care Agency
  • McComb, MS
  • NPI 1386746105
  Care Compare affiliation
• Laird Hospital, Inc.

  dba Ochsner Laird Hospital

  • Critical Access Hospital
  • Union, MS
  • NPI 1518924752
  Care Compare affiliation
• PHC-Cleveland LLC

  dba Bolivar Medical Center

  • General Acute Care Hospital
  • Cleveland, MS
  • NPI 1457321036
  Care Compare affiliation
• Rush Medical Foundation

  dba Ochsner Rush Medical Center

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1770543399
  Care Compare affiliation
• Scott Regional Medical Center, Inc.

  dba Ochsner Scott Regional

  • Critical Access Hospital
  • Morton, MS
  • NPI 1134278435
  Care Compare affiliation
• Rush Hospital/Butler, Inc

  dba Ochsner Choctaw General

  • Critical Access Hospital
  • Butler, AL
  • NPI 1184993727
  Care Compare affiliation
• Rush Hospital/Butler, Inc

  dba Ochsner Choctaw General Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Butler, AL
  • NPI 1811268410

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1922044502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4156 A PL",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011037",
            "telephone_number": "662-402-0608",
            "fax_number": "601-286-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 5TH ST",
            "address_2": "SUITE 202",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015108",
            "telephone_number": "601-286-3410",
            "fax_number": "601-286-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "PERRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "29610",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "10491",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "10491",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "13895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417498226A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3331790",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Walker, NP
• Peggy J Walker
• Ricky Walker, ATHLETIC TRAINER
• Riley Morgan Walker, M.S,, CCC-SLP
• James Howard Wallace, MD
• Sherita Danielle Wallace, NP
• Justin C. Walley, CRNA
• Theon Walley
• April Kristina Walters, APRN, ACNPC-AG
• Evelyn D Walters

• Internal Medicine Physician in Meridian, MS
• Providers in Meridian, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.