Active NPI
Claire Wallace, M.D.
- Family Medicine Physician
- Buena Vista, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101260575
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 29915 | OK | MD | Family Medicine Physician |
| 0101260575 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augusta Medical Group | Current | Accepting new patients | |
| Augusta Medical Group | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Monterey, VA
- NPI 1194784280
-
- General Practice Physician
- Fishersville, VA
- NPI 1245489590
-
- Rural Health Clinic/Center
- Lexington, VA
- NPI 1265015580
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fishersville, VA
- NPI 1053301127
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.