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

Erin Nicole Wallace

Individual provider Internal Medicine Physician · NPI 1326622333

Erin Nicole Wallace is an Internal Medicine in Bolivia, North Carolina. Qualified in 2021, 5 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and South Carolina.

Years since qualifying
5
Licensed in
NC, SC
In the registry since
2021
Specialties on file
2

Practice location Address checks out

257 Hospital Dr NE Ste 101
Bolivia, NC 28422-8411
Phone: (910) 721-4100
Fax: (910) 721-4101
Show map & directions

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

Additional practice locations (1)

  • 701 Grove Road, Greenville, SC 29605 — (864) 455-7882

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2024-01330 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 83639 (SC)

Record details

NPI number1326622333
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 6, 2021
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bolivia