NPI age
15 years
Enumerated 2010-07-06
● Active Type 2 · Organization
Jd Wallace Enterprises
Jd Wallace Enterprises is 1 of 2449 community/behavioral health organizations in Georgia.
Primary specialty
Community/Behavioral Health
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wallace
Ceo
Last NPPES update
2013-07-25
Source: monthly bulk 2026-05
How this organization compares
Across 2449 active community/behavioral health providers in Georgia.
NPI age
15 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 15% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-07Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
4286 Memorial Dr Ste C, Suite B
Decatur, GA 300321221
Mailing address
Po Box 43381
Atlanta, GA 30349
Authorized official
John David Wallace
Ceo
📞 3235582797
Specialties
-
Community/Behavioral Health PrimaryA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
-
Case ManagementAn organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Family Health Care Services
Practice context
Single-site organization. Only one practice location on file.
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