P Praxis·MD
● Active Type 1 · Individual

James Jefferson Wallace III, MD

Psychiatry & Neurology·Martinez, GA· NPI 1306067954 · Enumerated 2007 · 19 years on NPI
Wallace is 1 of 2 psychiatry & neurology providers in Martinez and 1 of 1678 in Georgia.
NPI age
19 years
Enumerated 2007-05-01
Primary specialty
Psychiatry & Neurology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-06-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1678 active psychiatry & neurology providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
4143 Columbia Rd, Suite D
Martinez, GA 30907
📞 7066511299fax 7066511145
Mailing address
4143 Columbia Rd, Suite D
Martinez, GA 30907
📞 7066511299fax 7066511145

Specialties

  • Psychiatry & Neurology Primary
    A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
    GA license #024369 taxonomy 2084P0800X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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