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NPI · 1205883147 · NPPES-sourced

Jamie Wallace

ActivePediatrics
NPI Number
1205883147
Type 1 · Individual
Taxonomy Code
208000000X
Contact
(770) 461-4126
License GA · 043044
Last Updated
About 18 years ago (Jul 2007)
Enumerated 2006-05-27
Primary practice addressGA · 30214-2049
735 Glynn St SFayetteville, GA 30214-2049
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Also known as

  • Formerly known asFlanders, Jamie M

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1205883147 is registered to Jamie Wallace, a Pediatrics practising at 735 Glynn St S in Fayetteville, Georgia. Pediatrics is the medical specialty focused on the health of infants, children, and adolescents through age 21. Jamie Wallace has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2006-05-27
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jamie Wallace accepts. To confirm in-network status with your specific health plan, contact Jamie Wallace directly at (770) 461-4126.

Frequently asked

Yes. NPI 1205883147 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pediatrics is the medical specialty focused on the health of infants, children, and adolescents through age 21.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (770) 461-4126.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jamie Wallace is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy208000000X
Last updated2007-07
Enumerated2006-05-27
StatusActive
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