What is Elizabeth Wallace's NPI number?

Elizabeth Wallace's National Provider Identifier (NPI) is 1205680014, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Elizabeth Wallace's specialty?

Elizabeth Wallace is listed in the NPPES registry with a primary specialty of Case Management Agency (Agencies).

Where is Elizabeth Wallace located?

Elizabeth Wallace's practice location on file with NPPES is 210 N Smalley Dr, Vidalia, GA 30474-6105.

What is Elizabeth Wallace's phone number?

The practice phone number listed in the NPPES registry for Elizabeth Wallace is (140) 445-1289.

Is Elizabeth Wallace's NPI active?

Yes — Elizabeth Wallace's NPI (1205680014) is active in the NPPES registry as of the last update on 2024-04-16.

IndividualActive

Elizabeth Wallace

NPI 1205680014 · Case Management Agency · Vidalia, GA

Elizabeth Wallace is a Case Management Agency provider in Vidalia, GA (NPI 1205680014).

Provider details

NPI number: 1205680014
Entity type: Individual
Primary specialty: Case Management AgencyAgencies
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Case Management AgencyPrimary251B00000X
Agencies

Profile Score

Established profile(50/100 index)

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

Registry tenure38% of score
2 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

210 N Smalley Dr

Vidalia, GA 30474-6105

Phone: (140) 445-1289

Street-level locationGet directions

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Mailing address