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

Dr. David Michael Wallace Sr., MD

Individual provider Family Medicine Physician · NPI 1134285810

Dr. David Michael Wallace Sr., MD is a Family Practice in Hampton, Virginia. Qualified in 1995, 31 years ago. Practices with Sentara Medical Group, a 1,403-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia and Virginia.

Years since qualifying
31
Licensed in
GA, VA
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

200 Eaton St
Hampton, VA 23669-4000
Phone: (757) 726-5000
Fax: (757) 726-5001
Show map & directions

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

Additional practice locations (1)

  • P10500 Mount Bellevedere Drive, Fort Drum, NY 13602 — (315) 772-4021

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101269450 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 043144 (GA)

Record details

NPI number1134285810
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 28, 2006
Last updated in NPPESSeptember 18, 2020
Certification dateSeptember 18, 2020
Mailing address200 Eaton St, Hampton, VA 23669-4000

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Sentara Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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