Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Scott Arthur Wallace, PA-C

Individual provider Physician Assistant · NPI 1265613855

Mr. Scott Arthur Wallace, PA-C is a Physician Assistant in Durham, North Carolina. Qualified in 2007, 19 years ago. Practices with Wake Emergency Physicians PA, a 273-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
19
Licensed in
NC
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3643 N Roxboro St Durham Regional Hospital Emergency Dept
Durham, NC 27704-2702
Phone: (919) 470-5345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-01140 (NC)

Record details

NPI number1265613855
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 25, 2007
Last updated in NPPESJune 18, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Wake Emergency Physicians Pa — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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