MYLES JAMAR WALLACE
NPI 1255299376
Psychologist - Health Service in Albemarle, NC

Q: What is Myles Wallace's NPI number?

The NPI number for Myles Wallace is 1255299376. It was assigned to this individual provider in the NPPES registry on January 15, 2026.

Q: What is Myles Wallace's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Q: When was this NPI record last updated?

The NPPES record for Myles Wallace was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since January 15, 2026

1426 E MAIN ST, ALBEMARLE, NC 28001(704) 982-0950 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Myles Jamar Wallace NPPES

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

MYLES JAMAR WALLACE (NPI 1255299376) is an individual health service provider in Albemarle, North Carolina and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1255299376

Entity TypeIndividualMale

Primary Taxonomy103TH0100X

Provider Legal NameMYLES JAMAR WALLACE

Location Address1426 E MAIN STAlbemarle, NC 28001-5236

Mailing Address2405 Twinberry LnWaxhaw, NC 28173-6861

Phone(704) 982-0950

Sole ProprietorNo

Enumeration DateJanuary 15, 2026

NPPES CertifiedJanuary 15, 2026

✔ NPI 1255299376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers

Taxonomy Code103TH0100X

Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

1426 E MAIN ST, Albemarle, NC 28001

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Other Providers at the Same Location NPPES 4

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

LASHANA INGRAM

Case Manager/Care Coordinator

1426 E MAIN ST
ALBEMARLE, NC 28001

Stanly County (704) 291-9267

PATRICIA NICOLE BRYAN FNP-C

Nurse Practitioner (Family)

1426 E MAIN ST
ALBEMARLE, NC 28001

Stanly County (704) 982-0950

FIRST CARE MEDICAL CLINIC

Internal Medicine

1426 E MAIN ST
ALBEMARLE, NC 28001

Stanly County (704) 982-0950

THU DINH

Physician Assistant

1426 E MAIN ST
ALBEMARLE, NC 28001

Stanly County (704) 982-0950

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 Myles Wallace's NPI number?

The NPI number for Myles Wallace is 1255299376. It was assigned to this individual provider in the NPPES registry on January 15, 2026.

Where is Myles Wallace located?

Myles Wallace practices at 1426 E Main St, Albemarle, NC 28001. The listed phone number is (704) 982-0950.

What is Myles Wallace's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Myles Wallace was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.