JAMIE F WALLACE – Pediatrics Physician, NPI 1205883147

JAMIE F WALLACE is a healthcare provider. based in Fayetteville, Georgia. specializing in Pediatrics Physician. They hold a License No. 043044 (GA). The NPI Number for JAMIE F WALLACE is 1205883147

Main info

Female
Name
JAMIE F WALLACE
NPI
1205883147
Phone
(770) 461-4126
Address
735 GLYNN ST S
Enumeration Date
27 May 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JAMIE F WALLACE

  • 735, Glynn Street South, Fayetteville, Fayette County, Georgia, 30214, United States

    FAYETTEVILLE, GA 302142049

    Phone: (770) 461-4126

    Fax: (770) 461-8852

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $89.

Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.

Last reported payment date: 2024-10-04 • Largest payer in this snapshot: Corium, LLC ($41).

Total Amount

$89

General + Research + Ownership

Payments

5

Total payment records

General Amount

$89

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-04

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30214)

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Reviews

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Frequently asked questions

Does JAMIE F WALLACE share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JAMIE F WALLACE uses 1205883147.
Does CMS list JAMIE F WALLACE as active?
Yes — JAMIE F WALLACE is active in the NPI listing used on this page.
What taxonomy line describes JAMIE F WALLACE?
For research purposes, treat JAMIE F WALLACE as Pediatrics Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does JAMIE F WALLACE list a practice location?
Patients near Fayetteville, Georgia may find JAMIE F WALLACE in results; validate coverage separately.
Why does JAMIE F WALLACE have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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