Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Eric Lee Wallace, M.D.

Surgery Physician in Cookeville, TN · enumerated 2006.

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

National Provider Identifier

1780614529

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Registry record

Entity type Individual (Type 1)

Name Dr. Eric Lee Wallace

Credential M.D.

Sex Male

Practice address 145 W 4th St Ste 201, Cookeville, TN, 38501

Phone (931) 783-5515

Fax (931) 783-5513

Enumeration date Jul 4, 2006

Last updated in NPPES Oct 14, 2025

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 71205 (TN) 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
Q096326	Medicaid	TN	-

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

Is NPI 1780614529 active?

Yes, as of the latest NPPES snapshot, NPI 1780614529 is active (record last updated 2025-10-14).

How do I verify Eric Wallace's NPI record?

Cross-check NPI 1780614529 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-14.