JAMES JEFFERSON III WALLACE (MD) – Specialist, NPI 1306067954

JAMES JEFFERSON III WALLACE (MD) is a healthcare provider. based in Martinez, Georgia. specializing in Specialist. They hold the professional credentials MD. They hold a License No. 024369 (GA). The NPI Number for JAMES JEFFERSON III WALLACE (MD) is 1306067954

Main info

Male
Sole Proprietor
Name
JAMES JEFFERSON III WALLACE (MD)
NPI
1306067954
Phone
(706) 651-1299
Address
4143 COLUMBIA RD
Enumeration Date
1 May 2007
Last Update Date
12 June 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for JAMES JEFFERSON III WALLACE (MD)

  • 4143 COLUMBIA RD

    SUITE D

    MARTINEZ, GA 30907

    Phone: (706) 651-1299

    Fax: (706) 651-1145

    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 44 Open Payments records for all available years, with a total value of $899.

Total Amount is formed as General ($899) + Research ($0) + Ownership ($0) = $899.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Alkermes, Inc. ($339).

Total Amount

$899

General + Research + Ownership

Payments

44

Total payment records

General Amount

$899

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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 30907)

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Reviews

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Frequently asked questions

Is there an official ID for JAMES JEFFERSON III WALLACE (MD) in U.S. healthcare records?
The official identifier for JAMES JEFFERSON III WALLACE (MD) is NPI 1306067954.
Active or inactive — what applies to JAMES JEFFERSON III WALLACE (MD)?
You should see JAMES JEFFERSON III WALLACE (MD) as active in CMS-hosted NPPES data.
How would a patient describe JAMES JEFFERSON III WALLACE (MD)'s focus?
For JAMES JEFFERSON III WALLACE (MD), the primary taxonomy reads as Other Service Providers. Clinical services aligned with this taxonomy classification.
Where in Georgia is JAMES JEFFERSON III WALLACE (MD) registered?
Use Martinez, Georgia as the headline location for JAMES JEFFERSON III WALLACE (MD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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