Wallace Tarry MD
About this NPIWhat this record shows.
NPI 1205804945 is registered to Wallace Tarry MD, a Vascular Surgery Physician practising at 146 Medical Park Rd, Ste 206 in Mooresville, North Carolina. Vascular Surgery Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Wallace Tarry MD has been enumerated in the National Provider Identifier (NPI) registry since 2006.
Your brand here.
Medicare enrollment
This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20040304001159Vascular SurgeryNC
- I20250519003000Vascular SurgeryGA
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Wallace Tarry MD accepts. To confirm in-network status with your specific health plan, contact Wallace Tarry MD directly at (704) 799-3939.
Frequently asked
Yes. NPI 1205804945 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Vascular Surgery Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (704) 799-3939.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Wallace Tarry MD is a Type-1 individual NPI.