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

Q: 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.

Q: What is James Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Wallace was last updated on April 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since June 13, 2006PECOS Enrolled

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: October 18, 2026.

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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 is enrolled in Medicare PECOS.

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

Phone(704) 362-2663

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

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Other Identifiers 2

Medicare UPINC82230NC

Medicare ID-Type Unspecified204017ANC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James William Wallace M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

ROSS MACRAE MASTERS MD

Psychiatry & Neurology (Psychiatry)