Laurie Wallace, DO
NPI 1831686369 · Family Medicine Physician · Summerville, SC
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Laurie Wallace, DO is a Family Medicine Physician provider in Summerville, SC (NPI 1831686369).
Provider details
- NPI number
- 1831686369
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 2075 (NE)
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
8 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)
- 5801 Defense PentagonWashington, DC 20310-6600Phone: (703) 692-8810
Registry dates
- Enumerated
- 2018-04-19
- Last updated
- 2025-05-07
- Certified
- 2025-05-07
Frequently asked questions
- What is Laurie Wallace's NPI number?
- Laurie Wallace's National Provider Identifier (NPI) is 1831686369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Laurie Wallace's specialty?
- Laurie Wallace is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Laurie Wallace located?
- Laurie Wallace's practice location on file with NPPES is 1268 Nexton Pkwy Ste 104, Summerville, SC 29486-2167.
- What is Laurie Wallace's phone number?
- The practice phone number listed in the NPPES registry for Laurie Wallace is (843) 212-8080.
- Does Laurie Wallace accept Medicare?
- Laurie Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Laurie Wallace's NPI active?
- Yes — Laurie Wallace's NPI (1831686369) is active in the NPPES registry as of the last update on 2025-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.