Individual provider Active NPI

Landon Hale

  • Chiropractor
  • Wilmington, NC
National Provider Identifier
1003696451
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5896 Issued in NC
Practice address
2110 S 17TH St
Wilmington, NC 28401-7408
Phone
(910) 343-5250
Fax
(910) 343-5250
NPI assigned
Oct 3, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5896 NC Primary
Chiropractor 111N00000X 3805 MA

Addresses

Primary practice location

2110 S 17TH St
Wilmington, NC 28401-7408

Mailing address

116 N Norwood St
Wallace, NC 28466-2730
Phone (910) 285-7222

Other practice location 1

600 Beaman St
Clinton, NC 28328-2604
Phone (910) 596-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250829004024 NC Practitioner - Chiropractic 7416458450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graybar Chiropractic IncGroup PAC ID 5294759619, 7 clinicians
Graybar-Clinton, IncGroup PAC ID 6305924572, 3 clinicians

Practice addresses (Care Compare)

2110 S 17TH St
Wilmington, NC 28401-7408
Phone (910) 343-5250

600 Beaman St
Clinton, NC 28328-2604
Phone (910) 285-7222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3805MAMDChiropractor
5896NCMDGeneral Practice Dentistry

Practice roles (2 of 6)

OrganizationSpecialtyStatusNew patients
Graybar-Clinton, Inc Chiropractor CurrentSince May 22, 2025 Accepting new patients
Graybar Chiropractic, Inc. Chiropractor CurrentSince May 22, 2025 Accepting new patients

Locations

600 Beaman St
Clinton, NC 28328
Phone (910) 285-7222

116 N Norwood St
Wallace, NC 28466
Phone (910) 285-7222

2110 S 17th St
Wilmington, NC 28401
Phone (910) 343-5250

Networks

  • TN PPO C-SNP
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • TN PPO
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1003696451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N NORWOOD ST",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284662730",
            "telephone_number": "910-285-7222",
            "fax_number": "910-285-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017408",
            "telephone_number": "910-343-5250",
            "fax_number": "910-343-5250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Beaman St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NC",
            "postal_code": "283282604",
            "country_code": "US",
            "telephone_number": "910-596-2222",
            "fax_number": "910-596-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALE",
        "first_name": "LANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-03",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5896",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3805",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.