Clara Bailey Wallace, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010833 Issued in GA

Practice address

46 Lynn LN Ste 1
Starkville, MS 39759-9269

Phone

(662) 546-4400

NPI assigned

Oct 27, 2022

Last updated

Jul 8, 2024By the provider in NPPES

Sex

Female

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

Enrolled in GA, MS2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Wallace Brain and Spine, PLLC

  • Chiropractor
  • Columbus, MS
  • NPI 1932083482
  Medicare reassignment NPD Authorized official
• Waldrop Chiropractic and Wellness, PLLC

  • Chiropractor
  • Starkville, MS
  • NPI 1033420328
  Medicare reassignment NPD

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1629795885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 LYNN LN STE 1",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397599269",
            "telephone_number": "662-546-4400",
            "fax_number": "662-268-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 LYNN LN STE 1",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397599269",
            "telephone_number": "662-546-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "CLARA",
        "middle_name": "BAILEY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Walker
• George G Walker
• Harrison Carroll Walker Jr., D.D.S., P.A.
• Patrick James Walker
• Charles Edward Wall Jr., MD
• Codi Labrina Wallace, LPC
• Ellen Easley Wallace, CDE, RD, LD
• Jean W Walrath, LPO LMFT MED
• Adam Wansley, PHARMD
• Warner Family Dentistry, LLC

• Chiropractor in Starkville, MS
• Providers in Starkville, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.