NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Charles R. Wallace, Jr., MD

Urology Physician in Memphis, TN · enumerated 2008 · authorized official Ann Wallace, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558522367

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Charles R. Wallace, Jr., MD
Practice address 1325 Eastmoreland Ave Ste 425, Memphis, TN, 38104
Phone (901) 272-3200
Fax (901) 278-3441
Enumeration date Jun 24, 2008
Last updated in NPPES Jun 24, 2008

Taxonomy & classification

208800000X Urology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Ann Wallace
Title Office Manager
Phone (901) 272-3200

Other identifiers

Identifier Type State Issuer
0040441 Other TN BCBS

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 → Validate an NPI →

Frequently asked questions

What type of organization is Charles R. Wallace, Jr., MD?
Charles R. Wallace, Jr., MD is registered in NPPES as a Urology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-24.