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

Wallace Clements Tarry, MD

Individual provider Surgery Physician · NPI 1205804945

Wallace Clements Tarry, MD is a Vascular Surgery in Mooresville, North Carolina. Graduated from Duke University School of Medicine in 1989, 37 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
37
Trained at
Duke University School of Medicine
Licensed in
NC
In the registry since
2006
Specialties on file
2
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

146 Medical Park Rd Ste 206
Mooresville, NC 28117-8528
Phone: (704) 799-3939
Show map & directions

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

Additional practice locations (4)

  • 1237 Harding Pl, Charlotte, NC 28204 — (704) 373-0212
  • 101 E W T Harris Blvd, Charlotte, NC 28262-3485 — (704) 863-1950
  • 447 McAlister Rd, Lincolnton, NC 28092-4114 — (980) 212-6300
  • 134 Medical Park Rd, Mooresville, NC 28117-8526 — (704) 801-9100

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 200200613 (NC)
Surgery Physician Taxonomy 208600000X · Licence 200200613 (NC)

Record details

NPI number1205804945
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 9, 2006
Last updated in NPPESJuly 16, 2024

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Also practisesTHORACIC SURGERY
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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