LAUREL SLOUGH WALLACE (D.O.) – Family Medicine Physician, NPI 1225482946

LAUREL SLOUGH WALLACE (D.O.) is a healthcare provider. based in Midlothian, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 218358 (NC). The NPI Number for LAUREL SLOUGH WALLACE (D.O.) is 1225482946

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
LAUREL SLOUGH WALLACE (D.O.)
NPI
1225482946
Phone
(804) 739-6142
Address
13540 HULL STREET RD
Enumeration Date
19 April 2016
Last Update Date
5 November 2021

Doctor Profile

Medical School Name
EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Secondary Phone
8047396142
Graduation Year
2016 (10 years ago)
PAC ID
0042509523
Group Practice PAC ID
0648215418
Professional Enrollment ID
I20220120002704
Address ID
VA231122107MI13540RDXX400
Telehealth
Yes

Contacts

Secure Messaging
lslough127734@direct.UNC.nchie.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

3,174 FAMILY PRACTICE in VA

Provider Addresses for LAUREL SLOUGH WALLACE (D.O.)

  • 13540 HULL STREET RD

    MIDLOTHIAN, VA 231122107

    Phone: (804) 739-6142

    Type: Location

  • 801, Green Valley Road, Greensboro, Guilford County, North Carolina, 27408, United States

    GREENSBORO, NC 274087021

    Phone: (336) 832-4777

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-01-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190806001023IFamily PracticeNCTBD
I20220120002704IFamily PracticeVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6729$0
99214Established patient office or other outpatient visit, 30-39 minutes6254$0
99213Established patient office or other outpatient visit, 20-29 minutes5146$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4416$0
99238Hospital discharge day management, 30 minutes or less3636$0
View full utilization report →

Insurance plans in this area (ZIP 23112)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648215418View full group profile
NameSpecialtyState
-VA
Family PracticeVA
O B S T E T R I C S/ G Y N E C O L O G YNY
Family PracticeVA
-VA
-VA
-VA
Nurse PractitionerVA
O B S T E T R I C S/ G Y N E C O L O G YVA
Internal Medicine, Pediatric MedicineVA

Reviews

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Frequently asked questions

What identifier follows LAUREL SLOUGH WALLACE (D.O.) across health systems?
The NPI 1225482946 uniquely identifies LAUREL SLOUGH WALLACE (D.O.) in U.S. healthcare data.
Is LAUREL SLOUGH WALLACE (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists LAUREL SLOUGH WALLACE (D.O.) as active.
Which specialty label fits LAUREL SLOUGH WALLACE (D.O.)?
NPPES ties LAUREL SLOUGH WALLACE (D.O.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to LAUREL SLOUGH WALLACE (D.O.)?
The directory associates LAUREL SLOUGH WALLACE (D.O.) with Midlothian, Virginia. Check all listed addresses for suites or satellite offices.
Who maintains LAUREL SLOUGH WALLACE (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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