Myles Jamar Wallace

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

Practice address

1426 E Main St
Albemarle, NC 28001-5236

Phone

(704) 982-0950

NPI assigned

Jan 15, 2026

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1255299376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 TWINBERRY LN",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 E MAIN ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280015236",
            "telephone_number": "704-982-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "MYLES",
        "middle_name": "JAMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Walgreen Co
• Charles Lynn Walker, PA
• Mijin Wall
• Shaw P Wan, MD
• Amy Parsons Ward
• Susan Carol Watson, M.D.
• Western Carolina Emergency Physicians, PLLC
• Carleigh Simmons Wetmore, RD, LDN, CDE

• Health Service Psychologist in Albemarle, NC
• Providers in Albemarle, NC by specialty
• Health Service Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.