IndividualActive
John Wallace, M.D.
NPI 1174537708 · Pulmonary Disease Physician · Laurel, MS
John Wallace, M.D. is a Pulmonary Disease Physician provider in Laurel, MS (NPI 1174537708).
Provider details
- NPI number
- 1174537708
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 08491 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
1203 Jefferson St
Laurel, MS 39440-4354
Phone: (601) 649-2863
Fax: (601) 649-9479
Street-level locationGet directions
Mailing address
1203 Jefferson St
Laurel, MS 39440-4354
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2013-07-11
Frequently asked questions
- What is John Wallace's NPI number?
- John Wallace's National Provider Identifier (NPI) is 1174537708, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Wallace's specialty?
- John Wallace is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is John Wallace located?
- John Wallace's practice location on file with NPPES is 1203 Jefferson St, Laurel, MS 39440-4354.
- What is John Wallace's phone number?
- The practice phone number listed in the NPPES registry for John Wallace is (601) 649-2863.
- Is John Wallace's NPI active?
- Yes — John Wallace's NPI (1174537708) is active in the NPPES registry as of the last update on 2013-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.