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

Individual provider Family Medicine Physician · NPI 1932192556

Michael C Wallace, MD is a Family Practice in Memphis, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 1994, 32 years ago. Practices with Bmg Family Physicians Group Foundation Inc, a 21-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
32
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2005
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

7685 Winchester Rd
Memphis, TN 38125-2202
Phone: (901) 752-6963
Fax: (901) 751-5540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD36875 (TN)

Record details

NPI number1932192556
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2005
Last updated in NPPESOctober 25, 2016
Mailing addressPo Box 405827, Atlanta, GA 30384-5800

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Bmg Family Physicians Group Foundation Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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