DR. JAMES WILLIAM WALLACE M.D.
NPI 1336182930
Psychiatry & Neurology - Psychiatry in Charlotte, NC

Active since June 13, 2006Opted out of Medicare · through Oct 1, 2026
3303 LATROBE DR, CHARLOTTE, NC 28211(704) 362-2663(704) 362-2836 Get Directions Write a Review

NPPES record last updated: April 26, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James William Wallace M.d. NPPES

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

DR. JAMES WILLIAM WALLACE M.D. (NPI 1336182930) is an individual psychiatry provider in Charlotte, North Carolina, licensed in North Carolina (31676) and active in the NPI registry since June 2006. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1336182930
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JAMES WILLIAM WALLACECredential: M.D.
Location Address3303 LATROBE DRCharlotte, NC 28211-4851
Mailing Address3303 Latrobe DrCharlotte, NC 28211-4851 · (704) 362-2663 · Fax (704) 362-2836
Fax(704) 362-2836
Sole ProprietorNo
Enumeration DateJune 13, 2006
Last NPPES UpdateApril 26, 2011
NPI 1336182930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in NC · 31676
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

3303 LATROBE DR, Charlotte, NC 28211

Other Identifiers 2

Medicare UPINC82230NC
Medicare ID-Type Unspecified204017ANC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. James William Wallace M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2018 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2018
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Psychiatry)
3303 LATROBE DR
CHARLOTTE, NC 28211
Social Worker (Clinical)
3303 LATROBE DR
CHARLOTTE, NC 28211
Social Worker (Clinical)
3303 LATROBE DR
CHARLOTTE, NC 28211
Psychiatry & Neurology (Neurology)
3303 LATROBE DR
CHARLOTTE, NC 28211
Nurse Practitioner (Psychiatric/Mental Health)
3303 LATROBE DR
CHARLOTTE, NC 28211
Social Worker (Clinical)
3303 LATROBE DR
CHARLOTTE, NC 28211
Nurse Practitioner (Psychiatric/Mental Health)
3303 LATROBE DR
CHARLOTTE, NC 28211
Psychologist (Clinical)
3303 LATROBE DR
CHARLOTTE, NC 28211

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 James Wallace's NPI number?

The NPI number for James Wallace is 1336182930. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is James Wallace located?

James Wallace practices at 3303 Latrobe Dr, Charlotte, NC 28211. The listed phone number is (704) 362-2663.

What is James Wallace's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is James Wallace enrolled in Medicare?

No. James Wallace has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does James Wallace accept?

Health plans from Blue Cross and Blue Shield of NC list James 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 James Wallace was last updated on April 26, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.