John M. Wallace, M.D.
John M. Wallace is a Pulmonary Disease Physician provider (Internal Medicine) practicing in Laurel, MS, registered in the NPPES registry with NPI 1174537708 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174537708 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | John M. Wallace |
| Credential | M.D. |
| Sex | Male |
| Practice address | 1203 JEFFERSON ST, Laurel, MS, 39440 |
| Phone | 6016492863 |
| Fax | 6016499479 |
| Enumeration date | 2006-07-28 |
| Last updated in NPPES | 2013-07-11 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207RP1001X | Pulmonary Disease Physician | Primary | 08491 | MS |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00011285 | Medicaid | MS | — |
Copy-ready billing details
Provider: John Wallace, M.D. NPI: 1174537708 Taxonomy: 207RP1001X (Pulmonary Disease Physician) Address: 1203 JEFFERSON ST, Laurel, MS, 39440
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1508801366 | Norrapol Wattanasuwan | Individual | Cardiovascular Disease Physician | Laurel, MS |
| 1568496669 | Julian Grafton | Individual | Family Medicine Physician | Laurel, MS |
| 1689696817 | James Beasley | Individual | Internal Medicine Physician | Laurel, MS |
| 1225052863 | Carolyn Cegielski | Individual | Gastroenterology Physician | Laurel, MS |
| 1841214145 | Charles Cannon | Individual | Internal Medicine Physician | Laurel, MS |
| 1417961012 | Willus Horne | Individual | Internal Medicine Physician | Laurel, MS |
| 1881608495 | Mark Norton | Individual | Internal Medicine Physician | Laurel, MS |
| 1659385276 | William Sullivan | Individual | Cardiovascular Disease Physician | Laurel, MS |
Verify this record
Cross-check NPI 1174537708 against the authoritative CMS record: view John M. Wallace on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where does John Wallace practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-07-11.