Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Tracy Wallace, MD

Pediatrics Physician in Gonzales, LA · enumerated 2010 · practices at Adult Medicine Institute & Diagnostic Center.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720306558

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Registry record

Entity type Individual (Type 1)

Name Tracy Wallace

Credential MD

Sex Female

Practice address 1937 S Burnside Ave, Gonzales, LA, 70737

Phone (225) 765-5500

Fax (225) 644-9286

Enumeration date May 4, 2010

Last updated in NPPES May 19, 2021

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 204717 (LA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
2103831	Medicaid	LA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Tracy Wallace?

The National Provider Identifier (NPI) for Tracy Wallace is 1720306558, a Type 1 (individual) record in the CMS NPPES registry.

Where does Tracy Wallace practice?

The practice location on file with NPPES is in Gonzales, LA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-05-19.