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

Individual provider Surgery Physician · NPI 1730591017

Jerald Payden Wallace, MD is a General Surgery in Lexington, Kentucky. Graduated from University of Alabama School of Medicine in 2014, 12 years ago. Practices with West Alabama Physician Associates LLC, a 36-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
12
Trained at
University of Alabama School of Medicine
Licensed in
KY
In the registry since
2014
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

800 Rose St C246
Lexington, KY 40536-0293
Phone: (859) 323-6162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 49437 (KY)

Record details

NPI number1730591017
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2014
Last updated in NPPESJuly 7, 2016
Mailing address800 Rose St, C246, Lexington, KY 40536-0293

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice West Alabama Physician Associates Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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