Jacqueline Wallace
NPI 1154168482 · Student in an Organized Health Care Education/Training Program · Atlanta, GA
Enrolled with Medicare as Order and Referring Only - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacqueline Wallace is a Student in an Organized Health Care Education/Training Program provider in Atlanta, GA (NPI 1154168482).
Provider details
- NPI number
- 1154168482
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2024-07-12
- Last updated
- 2025-04-03
- Certified
- 2025-04-03
Frequently asked questions
- What is Jacqueline Wallace's NPI number?
- Jacqueline Wallace's National Provider Identifier (NPI) is 1154168482, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Wallace's specialty?
- Jacqueline Wallace is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jacqueline Wallace located?
- Jacqueline Wallace's practice location on file with NPPES is 1364 Clifton Rd Ne, Atlanta, GA 30322-6504.
- What is Jacqueline Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Wallace is (404) 712-2000.
- Does Jacqueline Wallace accept Medicare?
- Jacqueline Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacqueline Wallace's NPI active?
- Yes — Jacqueline Wallace's NPI (1154168482) is active in the NPPES registry as of the last update on 2025-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.