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

Kelley Annette Wallace, DO

Individual provider Internal Medicine Physician · NPI 1174753727

Kelley Annette Wallace, DO is a Hospitalist in Kernersville, North Carolina. Qualified in 2009, 17 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama and North Carolina.

Years since qualifying
17
Licensed in
AL, NC
In the registry since
2009
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1750 Kernersville Medical Pkwy
Kernersville, NC 27284-7146
Phone: (336) 564-4866
Fax: (336) 277-6815
Show map & directions

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

Additional practice locations (1)

  • 1701 Westchester Drive, High Point, NC 27262-7254 — (336) 802-2145

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 2012-00585 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence DO.1175 (AL)

Record details

NPI number1174753727
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 16, 2009
Last updated in NPPESMay 23, 2023
Certification dateMay 23, 2023

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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