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JAMES E. WALLACE, JR, M.D., LLC
NPI 1568652485
Family Medicine in Pineville, LA

Active since July 26, 2007
1135 EXPRESSWAY DR, SUITE 200 A, PINEVILLE, LA 71360(318) 561-9600(318) 561-0228 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About James E. Wallace, Jr, M.d., Llc NPPES

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

JAMES E. WALLACE, JR, M.D., LLC (NPI 1568652485) is a healthcare organization registered as a family medicine in Pineville, Louisiana and active in the NPI registry since July 2007. The organization lists Tina Dewitt Bailey, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1568652485
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJAMES E. WALLACE, JR, M.D., LLC
Location Address1135 EXPRESSWAY DR, SUITE 200 APineville, LA 71360-6698
Mailing Address1135 Expressway Dr, Suite 200 APineville, LA 71360-6698 · (318) 561-9600 · Fax (318) 561-0228
Phone(318) 561-9600
Fax(318) 561-0228
Organization SubpartNo
Authorized OfficialTina Dewitt BaileyOffice Manager · (318) 561-9600
Enumeration DateJuly 26, 2007
Last NPPES UpdateNovember 14, 2007
✔ NPI 1568652485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · MD.200134
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.
1135 EXPRESSWAY DR, Pineville, LA 71360
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Other Identifiers 3

Medicaid1627950LA
Medicare PIN5BC71LA
Medicare UPINH11073LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

DR. JAMES EDWARDS WALLACE JR. MD
Family Medicine
1135 EXPRESSWAY DR, SUITE 200 A
PINEVILLE, LA 71360
Rapides Parish (318) 561-9600
JUDITH B. NANCE, M.D. LLC
Family Medicine
1135 EXPRESSWAY DR, SUITE 200 A
PINEVILLE, LA 71360
Rapides Parish (318) 561-9600
ANNA COFFEY BRAXTON
Specialist/Technologist (Athletic Trainer)
1135 EXPRESSWAY DR
PINEVILLE, LA 71360
Rapides Parish (318) 487-7951
ERIC LEE INGRAM P.T.
Physical Therapist
1135 EXPRESSWAY DR, SUITE 100 B
PINEVILLE, LA 71360
Rapides Parish (318) 487-6525
RACHEL BAVERY PT, DPT
Physical Therapist
1135 EXPRESSWAY DR
PINEVILLE, LA 71360
Rapides Parish (318) 487-6525
WILLIAM DAVID PRESTRIDGE DPT
Physical Therapist
1135 EXPRESSWAY DR, SUITE 100
PINEVILLE, LA 71360
Rapides Parish (318) 487-6525

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 E. Wallace, Jr, M.D., LLC's NPI number?

The NPI number for James E. Wallace, Jr, M.D., LLC is 1568652485. It was assigned to this organization in the NPPES registry on July 26, 2007.

Where is James E. Wallace, Jr, M.D., LLC located?

James E. Wallace, Jr, M.D., LLC is located at 1135 Expressway Dr Suite 200 A, Pineville, LA 71360. The listed phone number is (318) 561-9600.

What is James E. Wallace, Jr, M.D., LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for James E. Wallace, Jr, M.D., LLC was last updated on November 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.