Stephenie Wallace, M.D.
NPI 1417977646 · Pediatric Adolescent Medicine Physician · Birmingham, AL
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephenie Wallace, M.D. is a Pediatric Adolescent Medicine Physician provider in Birmingham, AL (NPI 1417977646).
Provider details
- NPI number
- 1417977646
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 25999 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2011-01-13
Frequently asked questions
- What is Stephenie Wallace's NPI number?
- Stephenie Wallace's National Provider Identifier (NPI) is 1417977646, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephenie Wallace's specialty?
- Stephenie Wallace is listed in the NPPES registry with a primary specialty of Pediatric Adolescent Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Stephenie Wallace located?
- Stephenie Wallace's practice location on file with NPPES is 1600 7th Ave S, Birmingham, AL 35233-1711.
- What is Stephenie Wallace's phone number?
- The practice phone number listed in the NPPES registry for Stephenie Wallace is (205) 939-9345.
- Does Stephenie Wallace accept Medicare?
- Stephenie Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephenie Wallace's NPI active?
- Yes — Stephenie Wallace's NPI (1417977646) is active in the NPPES registry as of the last update on 2011-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.