Graybar Chiropractic, Inc.
Organization Active NPI Chiropractor · Wallace, NC
NPI 1073609665 · NPPES record last updated Feb 23, 2026
Key facts
- NPI
- 1073609665
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- GRAYBAR CHIROPRACTIC, INC.
- Practice address
- 116 N Norwood St
Wallace, NC 28466-2730 - Phone
- (910) 285-7222
- Fax
- (910) 285-7229
- NPI assigned
- Oct 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Crystal Ward
- Title
- Office Manager
- Phone
- (910) 285-7222
Corporate family (same tax ID) 1
Practitioners 11
-
Tyler Hawke, D.C.
-
Mary E King, DC
-
Luccus Lee Workman, D.C.
-
Taylor Gomes, DC
-
Maryann E. Luxeder, DC OF CHIROPRACTIC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060124000604 | NC | Part B Supplier - Clinic/Group Practice | 5294759619 |
Receives reassigned benefits from 9 practitioners Practice locations: Wallace, NC; Wilmington, NC |
National Provider Directory
- Tax ID family
- Graybar Chiropractic Inc
Locations
2110 S 17th St
Wilmington, NC 28401
Phone (910) 343-5250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
116 N Norwood St
Wallace, NC 28466-2730
Mailing address
116 N Norwood St
Wallace, NC 28466-2730
Phone (910) 285-7222
Other providers in Wallace, NC
- Rebecca Banks Gilbert
- Glover Enterprizes LLC
- Nataliya Goings
- Julie Eileen Gore
- Goshen Medical Center Incorporated
- Michael Francis Graybar Jr.
- Ryan Michael Graybar
- Lori Hartley
- Crystal Rose Havens
- Tyler Hawke
All providers in Wallace, NC · Chiropractor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.