Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Emerson Akalee Wallace, CFNP

Individual provider Family Nurse Practitioner · NPI 1336251560

Mr. Emerson Akalee Wallace, CFNP is a Nurse Practitioner in Saltillo, Mississippi. Qualified in 1996, 30 years ago. Practices with Golden Triangle Urgent Care LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
30
Licensed in
MS
In the registry since
2006

Practice location Address checks out

1154 Cross Creek Dr
Saltillo, MS 38866-5777
Phone: (662) 840-8010
Fax: (662) 840-2656
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R759298 (MS)

Record details

NPI number1336251560
Entity typeIndividual (Type 1)
GenderMale
Credentials CFNP
Sole proprietorYes
NPI enumeratedSeptember 1, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Golden Triangle Urgent Care Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saltillo