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JAMIE F WALLACE
NPI 1205883147
Pediatrics in Fayetteville, GA

Active since May 27, 2006
735 GLYNN ST S, FAYETTEVILLE, GA 30214(770) 461-4126(770) 461-8852 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jamie F Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMIE F WALLACE (NPI 1205883147) is an individual pediatrics provider in Fayetteville, Georgia, licensed in Georgia (043044) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1205883147
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJAMIE F WALLACE
Location Address735 GLYNN ST SFayetteville, GA 30214-2049
Mailing Address735 Glynn St SFayetteville, GA 30214-2049 · (770) 461-4126 · Fax (770) 461-8852
Phone(770) 461-4126
Fax(770) 461-8852
Sole ProprietorNo
Enumeration DateMay 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205883147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 043044
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
735 GLYNN ST S, Fayetteville, GA 30214
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Other Names 1

Former Name (1)Jamie M Flanders

Other Identifiers 1

Medicaid00794483AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC W HOFFLER MD
Pediatrics
735 GLYNN ST S
FAYETTEVILLE, GA 30214
Fayette County (770) 461-4126
CLARA RUIZ STOGNER CPNP-PC
Nurse Practitioner (Pediatrics)
735 GLYNN ST S
FAYETTEVILLE, GA 30214
Fayette County (770) 461-4126
ABC PEDIATRICS
Pediatrics
735 GLYNN ST S
FAYETTEVILLE, GA 30214
Fayette County (770) 461-4126

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jamie Wallace's NPI number?

The NPI number for Jamie Wallace is 1205883147. It was assigned to this individual provider in the NPPES registry on May 27, 2006. The provider is also known as Jamie M Flanders.

Where is Jamie Wallace located?

Jamie Wallace practices at 735 Glynn St S, Fayetteville, GA 30214. The listed phone number is (770) 461-4126.

What is Jamie Wallace's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Jamie Wallace accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Jamie Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jamie Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.