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

Dr. Cynthia L Wallace, MD

Individual provider Family Medicine Physician · NPI 1386615540

Dr. Cynthia L Wallace, MD is a Family Practice in Hermitage, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 1996, 30 years ago. Accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
30
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4777 Andrew Jackson Pkwy Ste 101
Hermitage, TN 37076-1356
Phone: (615) 889-0134
Fax: (615) 889-0135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD30127 (TN)

Record details

NPI number1386615540
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 27, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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