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

Wallace Roy Anderson III, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1467080762

Wallace Roy Anderson III, MD is an Emergency Medicine in Greenville, South Carolina. Graduated from Mercer University School of Medicine in 2020, 6 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
6
Trained at
Mercer University School of Medicine
Licensed in
SC
In the registry since
2020
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

701 Grove Rd Fl 1
Greenville, SC 29605-4210
Phone: (864) 455-7899
Fax: (864) 455-5474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 84465 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1467080762
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2020
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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