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Jahqwale Wallace
NPI 1053822999 · Contractor · Valdosta, GA
Jahqwale Wallace is a Contractor provider in Valdosta, GA (NPI 1053822999).
Provider details
- NPI number
- 1053822999
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
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
1501 Myrtle St Apt C3
Valdosta, GA 31601-3071
Phone: (912) 704-9805
Street-level locationGet directions
Mailing address
1501 Myrtle St Apt C3
Valdosta, GA 31601-3071
Registry dates
- Enumerated
- 2017-10-18
- Last updated
- 2017-10-18
Frequently asked questions
- What is Jahqwale Wallace's NPI number?
- Jahqwale Wallace's National Provider Identifier (NPI) is 1053822999, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jahqwale Wallace's specialty?
- Jahqwale Wallace is listed in the NPPES registry with a primary specialty of Contractor (Other Service Providers).
- Where is Jahqwale Wallace located?
- Jahqwale Wallace's practice location on file with NPPES is 1501 Myrtle St Apt C3, Valdosta, GA 31601-3071.
- What is Jahqwale Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jahqwale Wallace is (912) 704-9805.
- Is Jahqwale Wallace's NPI active?
- Yes — Jahqwale Wallace's NPI (1053822999) is active in the NPPES registry as of the last update on 2017-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.