Individual provider Active NPI

Claire Wallace, M.D.

  • Family Medicine Physician
  • Buena Vista, VA
National Provider Identifier
1770922254
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101260575 Issued in VA
Practice address
2054 Sycamore Ave
Buena Vista, VA 24416-3124
Phone
(540) 261-1315
Fax
(540) 261-1314
NPI assigned
Jun 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101260575 VA Primary
Family Medicine Physician 207Q00000X 29915 OK

Addresses

Primary practice location

2054 Sycamore Ave
Buena Vista, VA 24416-3124

Mailing address

PO Box 388
Fishersville, VA 22939-0388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170504001160 VA Practitioner - Family Practice 4486931201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Medical Center IncGroup PAC ID 1759285075, 9 clinicians

Practice addresses (Care Compare)

120 Jackson River Rd
Monterey, VA 24465-2416
Phone (540) 468-6402

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29915OKMDFamily Medicine Physician
0101260575VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Medical Group CurrentSince Oct 10, 2022 Accepting new patients
Augusta Medical Group CurrentSince Oct 10, 2022 Accepting new patients

Locations

2054 Sycamore Ave
Buena Vista, VA 24416
Phone (540) 261-1315

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

730 McCulloch St
Glasgow, VA 24555
Phone (540) 258-1700

55 Comfort Way
Ste 1
Lexington, VA 24450
Phone (540) 463-3381

201 Lew Dewitt Blvd
#B
Waynesboro, VA 22980
Phone (540) 245-7950

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1770922254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 SYCAMORE AVE",
            "city": "BUENA VISTA",
            "state": "VA",
            "postal_code": "244163124",
            "telephone_number": "540-261-1315",
            "fax_number": "540-261-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "CLAIRE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101260575",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "29915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Vista, VA

Sources for this page

Verify at the official NPI Registry.