Logan Wallace, MD
NPI 1811567100 · Student in an Organized Health Care Education/Training Program · Johnson City, TN
Logan Wallace, MD is a Student in an Organized Health Care Education/Training Program provider in Johnson City, TN (NPI 1811567100).
Provider details
- NPI number
- 1811567100
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- 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
4 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
Mailing address
Registry dates
- Enumerated
- 2021-06-29
- Last updated
- 2025-06-22
- Certified
- 2025-06-22
Frequently asked questions
- What is Logan Wallace's NPI number?
- Logan Wallace's National Provider Identifier (NPI) is 1811567100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Logan Wallace's specialty?
- Logan 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 Logan Wallace located?
- Logan Wallace's practice location on file with NPPES is 400 N State of Franklin Rd, Johnson City, TN 37604-6035.
- What is Logan Wallace's phone number?
- The practice phone number listed in the NPPES registry for Logan Wallace is (423) 431-6111.
- Is Logan Wallace's NPI active?
- Yes — Logan Wallace's NPI (1811567100) is active in the NPPES registry as of the last update on 2025-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.