Kellie L. Wallace-Wilding, MD
NPI 1063518629ActiveIndividual· Family Medicine· Jackson, TN
Family Medicine (MD) with Jackson Clinic PA, practicing in Jackson, Tennessee. Their prescriptions cost Medicare Part D more than their services did: $1,310,329 for 16,905 claims, against $295,897 paid for services in 2024. Teleflex LLC was the largest of 2 companies reporting payments in 2024, $44.62 in all, mostly food and beverage. Lists Jackson-Madison County General Hospital as a hospital affiliation.
Overview
| NPI | 1063518629 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Sep 14, 2006 |
| Last updated in NPPES | Nov 29, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 41583 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 674 |
|---|---|
| Services billed | 15,654 across 177 procedure codes |
| Paid by Medicare | $295,897 |
Part D prescriptions in 2024
| Prescriptions (claims) | 16,905 · 39,071 30-day fills |
|---|---|
| Patients | 742 |
| Total drug cost | $1,310,329 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Jackson Clinic PAJackson, TN · 165 clinicians
Hospital affiliation
- Jackson-Madison County General HospitalJackson, TN
Other facilities
- Beacon Home HealthHome health agency · Jackson, TN
- Centerwell Health Services USA, LLCHome health agency · Jackson, TN
- Tennessee Quality Care - Home HealthHome health agency · Parsons, TN
- Volunteer Home CareHome health agency · Humboldt, TN
Industry payments (Open Payments)
- 2024$44.62 · 2 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Teleflex LLC | $25.11 | 1 |
| Abbvie Inc. | $19.51 | 1 |
What the 2024 payments were for
- Food and Beverage$44.62 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 136 family medicine physicians in Jackson · All family medicine physicians in Tennessee