Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Jo Wallace, MD

Individual provider Pediatrics Physician · NPI 1467487322

Amy Jo Wallace, MD is a Pediatrics Physician in Kernersville, North Carolina. Works from 2 locations. Licensed in North Carolina and South Carolina.

Licensed in
NC, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

861 Old Winston Rd Ste 101
Kernersville, NC 27284-7141
Phone: (336) 904-0143
Fax: (336) 904-0046
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 815 Old Winston Rd, Kernersville, NC 27284-7124 — (336) 713-0990

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 200600865 (NC)
Pediatrics Physician Taxonomy 208000000X · Licence 26169 (SC)

Record details

NPI number1467487322
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020

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