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

Dr. Perry Wallace, MD

Individual provider Emergency Medicine Physician · NPI 1922044502

Dr. Perry Wallace, MD is an Internal Medicine in Meridian, Mississippi. Graduated from University of Mississippi School of Medicine in 1983, 43 years ago. Practices with Rush Hospital/Butler, Inc, a 15-clinician group and accepts Medicare assignment. Licensed in Alabama, Mississippi and Tennessee.

Years since qualifying
43
Trained at
University of Mississippi School of Medicine
Licensed in
AL, MS, TN
In the registry since
2006
Specialties on file
4
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

2121 5th St Ste 202
Meridian, MS 39301-5108
Phone: (601) 286-3410
Fax: (601) 286-3425
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 13895 (AL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 29610 (TN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 10491 (MS)
Internal Medicine Physician Taxonomy 207R00000X · Licence 10491 (MS)

Record details

NPI number1922044502
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2006
Last updated in NPPESNovember 14, 2011
Mailing address4156 A Pl, Meridian, MS 39301-1037

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 1983 (43 years in practice)
Group practice Rush Hospital/Butler, Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Meridian