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

Dr. Eric Lee Wallace, MD

Individual provider Surgery Physician · NPI 1780614529

Dr. Eric Lee Wallace, MD is a General Surgery in Cookeville, Tennessee. Graduated from Vanderbilt University School of Medicine in 2001, 25 years ago. Practices with Cookeville Regional Medical Center, a 52-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
25
Trained at
Vanderbilt University School 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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

145 W 4th St Ste 201
Cookeville, TN 38501-2476
Phone: (931) 783-5515
Fax: (931) 783-5513
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 71205 (TN)

Record details

NPI number1780614529
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 4, 2006
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025
Mailing address140 W 7th St, Cookeville, TN 38501-1726

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Cookeville Regional Medical Center — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cookeville