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.

IndividualActive

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

Practice location

1501 Myrtle St Apt C3

Valdosta, GA 31601-3071

Phone: (912) 704-9805

Street-level locationGet directions

More GA providers

Mailing address

1501 Myrtle St Apt C3

Valdosta, GA 31601-3071

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
9 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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions