JAMES JOHN WALLACE DO
NPI 1538196704
Family Medicine in Memphis, TN

Q: What is James Wallace's NPI number?

The NPI number for James Wallace is 1538196704. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Q: What is James Wallace's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for James Wallace was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 26, 2006PECOS Enrolled

360 E EH CRUMP BLVD, MEMPHIS, TN 38126(901) 261-2000(901) 946-9262 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 26, 2024, Mar 3, 2016 (2 updates tracked since 2016).

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About James John Wallace Do NPPES

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

JAMES JOHN WALLACE DO (NPI 1538196704) is an individual family medicine provider in Memphis, Tennessee, licensed in Tennessee (5182) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Michigan State University College Of Osteopathic Medicine (1988).

NPPES Registry Identity

NPI1538196704

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJAMES JOHN WALLACECredential: DO

Location Address360 E EH CRUMP BLVDMemphis, TN 38126-5394

Mailing Address360 E Eh Crump BlvdMemphis, TN 38126-5394 · (901) 261-2000 · Fax (901) 946-9262

Phone(901) 261-2000

Fax(901) 946-9262

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1988

Enumeration DateJune 26, 2006

Last NPPES UpdateJuly 26, 20242 updates tracked since enumeration

NPPES CertifiedJuly 26, 2024

✔ NPI 1538196704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TN · 5182✔ Licensed in WI · 28115-021

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

360 E EH CRUMP BLVD, Memphis, TN 38126

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Secondary Practice Locations 2

Location 14940 Highway 57Rossville, TN 38066-5068 · Phone (901) 261-7303 · Fax (901) 946-9262

Location 24593 Elvis Presley Blvd Ste 101Memphis, TN 38116-1511 · Phone (901) 261-7338 · Fax (901) 946-9262

Other Identifiers 3

Medicaid30027800WI

OtherP00983439WI · Railroad Medicare

Other5182TN · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Health Plan, 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)

James John Wallace Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537065362

PECOS Enrollment IDI20231012002156

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 38126 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

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.

MRS. TIFFINIE WILSON FNP-C

Nurse Practitioner (Family)