Wallace Urgent Care LLC
NPI 1841259025 · Internal Medicine Physician · Wallace, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wallace Urgent Care LLC is a Internal Medicine Physician organization in Wallace, NC (NPI 1841259025).
Provider details
- NPI number
- 1841259025
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kamran Goudarzi, Owner(910) 552-1580
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-03-17
- Last updated
- 2025-06-24
- Certified
- 2025-06-24
Frequently asked questions
- What is Wallace Urgent Care LLC's NPI number?
- Wallace Urgent Care LLC's National Provider Identifier (NPI) is 1841259025, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wallace Urgent Care LLC?
- Wallace Urgent Care LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wallace Urgent Care LLC located?
- Wallace Urgent Care LLC's practice location on file with NPPES is 112 Medical Village Dr, Wallace, NC 28466-9999.
- What is Wallace Urgent Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Wallace Urgent Care LLC is (910) 552-1580.
- Does Wallace Urgent Care LLC accept Medicare?
- Wallace Urgent Care LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wallace Urgent Care LLC?
- The authorized official listed on Wallace Urgent Care LLC's NPPES record is Kamran Goudarzi, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wallace Urgent Care LLC's NPI active?
- Yes — Wallace Urgent Care LLC's NPI (1841259025) is active in the NPPES registry as of the last update on 2025-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.