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

Todd A Wallace, PA-C

Individual provider Physician Assistant · NPI 1073540209

Todd A Wallace, PA-C is a Physician Assistant in Durham, North Carolina. Qualified in 1996, 30 years ago. Practices with Carolina Quickcare Family Practice, PLLC, a 109-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
30
Licensed in
NC
In the registry since
2006
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, NC 27704-2702
Phone: (919) 470-4000
Fax: (919) 470-7392
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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 102437 (NC)

Record details

NPI number1073540209
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESFebruary 17, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Carolina Quickcare Family Practice, Pllc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Durham