Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689623142 Individual Practitioner Female Practitioner

Dr. Vicki Jo Wallis , MD

Pediatrics • Gadsden, AL

Professional Overview & Biography Verified Profile Summary

Dr. Vicki Wallis, MD is a registered healthcare professional specializing in Pediatrics in Gadsden, AL. Practice services are available at 829 RIVERBEND DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

829 Riverbend Dr

Gadsden, AL 359012556

Telephone 2565464611
Fax 2565462214
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Gadsden, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.7 Yrs
Regional Practice Density
14 Specialists

Practicing in Gadsden, 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AL 22626

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
114331 (AL)

Practice Associates & Co-Workers

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

7 Associated Practitioners
Amber Lewis , CRNP

Nurse Practitioner - Pediatrics

NPI 1134670144

Certified Registered Nurse Practitioner

Kendall Welder , CRNP, RN

Nurse Practitioner - Family

NPI 1467639427

Certified Registered Nurse Practitioner, Registered Nurse

NPI 1518924547

Doctor of Medicine (M.D.)

NPI 1568424182

Doctor of Medicine (M.D.)

Joshua Camp , FNP-C

Nurse Practitioner - Family

NPI 1609512235

Family Nurse Practitioner (Certified)

Denise Rae Skelton , CRNP

Registered Nurse - Pediatrics

NPI 1679610901

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 05, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2013

Registered at 829 RIVERBEND DR, GADSDEN, AL 359012556 (Tel: 2565464611)

📍
Updated Business Mailing Address June 05, 2013

Registered at 829 RIVERBEND DR, GADSDEN, AL 359012556 (Tel: 2565464611)

👤
Provider Name / Credentials Updated June 05, 2013

Recorded as VICKI WALLIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2013

Pediatrics (License #22626 in AL)

🟢
Initial NPI Registration & Enumeration May 10, 2006

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: 1689623142
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2006
Last Update: June 05, 2013
Sole Proprietor: No

Mailing Address

829 Riverbend Dr

Gadsden, AL 359012556

Phone: 2565464611

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.