Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336680768 Individual Practitioner Female Practitioner

Dr. Suzanne Watson Wallace , MD

Pediatrics • Birmingham, AL

Professional Overview & Biography Verified Profile Summary

Dr. Suzanne Wallace, MD is a registered healthcare professional specializing in Pediatrics in Birmingham, AL. Practice services are available at 832 PRINCETON AVE SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

832 Princeton Ave Sw

Birmingham, AL 352111320

Telephone 2052068480
Fax 2052068448
Associated Practice Facility / Clinic
🏢 Simon-Williamson Clinic, P.c. Facility NPI 1497702344

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Birmingham, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.6 Yrs
State Avg: 28.7 Yrs
Regional Practice Density
237 Specialists

Practicing in Birmingham, AL (853 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-18
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AL MD.39283

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1154345130

Doctor of Medicine (M.D.)

NPI 1174631311

Doctor of Medicine (M.D.)

NPI 1174736078

Doctor of Medicine (M.D.)

NPI 1356302806

Doctor of Medicine (M.D.)

NPI 1528088440

Doctor of Medicine (M.D.)

NPI 1619998580

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location June 18, 2020

Registered at 832 PRINCETON AVE SW, BIRMINGHAM, AL 352111320 (Tel: 2052068480)

📍
Updated Business Mailing Address June 18, 2020

Registered at 832 PRINCETON AVE SW, BIRMINGHAM, AL 352111320 (Tel: 2052068219)

👤
Provider Name / Credentials Updated June 18, 2020

Recorded as SUZANNE WALLACE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2020

Pediatrics (License #MD.39283 in AL)

NPI Profile Active March 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 18, 2017

Registered at 49 JESSE HILL JR DR SE, ATLANTA, GA 303033049 (Tel: 4047781440)

📍
Updated Business Mailing Address March 18, 2017

Registered at 49 JESSE HILL JR DR SE, ATLANTA, GA 303033049 (Tel: 4047781440)

👤
Provider Name / Credentials Updated March 18, 2017

Recorded as SUZANNE WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 18, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336680768
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2017
Last Update: June 18, 2020
Sole Proprietor: No

Mailing Address

832 Princeton Ave Sw

Birmingham, AL 352111320

Phone: 2052068219

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.