What is Trevor Wallace's NPI number?

Trevor Wallace's National Provider Identifier (NPI) is 1003339094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Trevor Wallace's specialty?

Trevor Wallace is listed in the NPPES registry with a primary specialty of Contractor (Other Service Providers).

Where is Trevor Wallace located?

Trevor Wallace's practice location on file with NPPES is 571 Eva Kennedy Rd Apt 8, Suwanee, GA 30024-3008.

What is Trevor Wallace's phone number?

The practice phone number listed in the NPPES registry for Trevor Wallace is (770) 369-1497.

Is Trevor Wallace's NPI active?

Yes — Trevor Wallace's NPI (1003339094) is active in the NPPES registry as of the last update on 2022-07-21.

IndividualActive

Trevor Wallace

NPI 1003339094 · Contractor · Suwanee, GA

Trevor Wallace is a Contractor provider in Suwanee, GA (NPI 1003339094).

Provider details

NPI number: 1003339094
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

ContractorPrimary171W00000X
Other Service Providers

Profile Score

Established profile(63/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
8 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

571 Eva Kennedy Rd Apt 8

Suwanee, GA 30024-3008

Phone: (770) 369-1497

Street-level locationGet directions

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Mailing address