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Shantonitt Wallace
NPI 1477262590 · Contractor · Valdosta, GA
Shantonitt Wallace is a Contractor provider in Valdosta, GA (NPI 1477262590).
Provider details
- NPI number
- 1477262590
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
2209 Pulaski Cir
Valdosta, GA 31602-7312
Phone: (229) 618-0021
Street-level locationGet directions
Mailing address
2209 Pulaski Cir
Valdosta, GA 31602-7312
Registry dates
- Enumerated
- 2022-11-17
- Last updated
- 2022-11-17
- Certified
- 2022-11-17
Frequently asked questions
- What is Shantonitt Wallace's NPI number?
- Shantonitt Wallace's National Provider Identifier (NPI) is 1477262590, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shantonitt Wallace's specialty?
- Shantonitt Wallace is listed in the NPPES registry with a primary specialty of Contractor (Other Service Providers).
- Where is Shantonitt Wallace located?
- Shantonitt Wallace's practice location on file with NPPES is 2209 Pulaski Cir, Valdosta, GA 31602-7312.
- What is Shantonitt Wallace's phone number?
- The practice phone number listed in the NPPES registry for Shantonitt Wallace is (229) 618-0021.
- Is Shantonitt Wallace's NPI active?
- Yes — Shantonitt Wallace's NPI (1477262590) is active in the NPPES registry as of the last update on 2022-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.