Amy Jo Wallace, MD
NPI 1467487322 · Pediatrics Physician · Kernersville, NC
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amy Jo Wallace, MD is a Pediatrics Physician provider in Kernersville, NC (NPI 1467487322).
Provider details
- NPI number
- 1467487322
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 26169 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
2 documented practice locations
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
Additional practice locations (1)
- 815 Old Winston RdKernersville, NC 27284-7124Phone: (336) 713-0990
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2020-11-04
- Certified
- 2020-11-04
Frequently asked questions
- What is Amy Jo Wallace's NPI number?
- Amy Jo Wallace's National Provider Identifier (NPI) is 1467487322, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amy Jo Wallace's specialty?
- Amy Jo Wallace is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Amy Jo Wallace located?
- Amy Jo Wallace's practice location on file with NPPES is 861 Old Winston Rd Ste 101, Kernersville, NC 27284-7141.
- What is Amy Jo Wallace's phone number?
- The practice phone number listed in the NPPES registry for Amy Jo Wallace is (336) 904-0143.
- Does Amy Jo Wallace accept Medicare?
- Amy Jo Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Amy Jo Wallace's NPI active?
- Yes — Amy Jo Wallace's NPI (1467487322) is active in the NPPES registry as of the last update on 2020-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.