James Jefferson Wallace Iii, MD is a
Psychiatry & Neurology - Psychiatry physician based in Martinez, Georgia. James Jefferson Wallace Iii is licensed to practice in Georgia (license number 024369) and his current practice location is 4143 Columbia Rd, Suite D, Martinez, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 651-1299.
NPI number for James Jefferson Wallace Iii is 1306067954 and his current mailing address is 4143 Columbia Rd, Suite D, Martinez, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306067954.
Physician's Profile
Full Name | James Jefferson Wallace Iii |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 4143 Columbia Rd, Martinez, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306067954
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 06/12/2024
Medical Identifiers
Medical identifiers for James Jefferson Wallace Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306067954 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 024369 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James Jefferson Wallace Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
James Jefferson Wallace Iii, MD 4143 Columbia Rd, Suite D, Martinez, GA 30907 Ph: (706) 651-1299 | James Jefferson Wallace Iii, MD 4143 Columbia Rd, Suite D, Martinez, GA 30907 Ph: (706) 651-1299 |
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