OrganizationActive
Charles R. Wallace, Jr., MD
NPI 1558522367 · Urology Physician · Memphis, TN
Charles R. Wallace, Jr., MD is a Urology Physician organization in Memphis, TN (NPI 1558522367).
Provider details
- NPI number
- 1558522367
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ann Wallace, Office Manager(901) 272-3200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1325 Eastmoreland Ave Ste 425
Memphis, TN 38104-7541
Phone: (901) 272-3200
Fax: (901) 278-3441
Street-level locationGet directions
Mailing address
1325 Eastmoreland Ave Ste 425
Memphis, TN 38104-7541
Registry dates
- Enumerated
- 2008-06-24
- Last updated
- 2008-06-24
Frequently asked questions
- What is Charles R. Wallace, Jr., MD's NPI number?
- Charles R. Wallace, Jr., MD's National Provider Identifier (NPI) is 1558522367, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charles R. Wallace, Jr., MD?
- Charles R. Wallace, Jr., MD is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Charles R. Wallace, Jr., MD located?
- Charles R. Wallace, Jr., MD's practice location on file with NPPES is 1325 Eastmoreland Ave Ste 425, Memphis, TN 38104-7541.
- What is Charles R. Wallace, Jr., MD's phone number?
- The practice phone number listed in the NPPES registry for Charles R. Wallace, Jr., MD is (901) 272-3200.
- Who is the authorized official for Charles R. Wallace, Jr., MD?
- The authorized official listed on Charles R. Wallace, Jr., MD's NPPES record is Ann Wallace, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charles R. Wallace, Jr., MD's NPI active?
- Yes — Charles R. Wallace, Jr., MD's NPI (1558522367) is active in the NPPES registry as of the last update on 2008-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.