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MICHAEL WALL, PC
NPI 1023727633
Clinic/Center - Primary Care in Maryville, TN

Active since November 22, 2022CLIA 44D2271402 · Waiver
362 HIGH ST, MARYVILLE, TN 37804(865) 413-1589(865) 205-9475 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Wall, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL WALL, PC (NPI 1023727633) is a healthcare organization registered as a primary care in Maryville, Tennessee and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Michael Wall, Owner, as its authorized official.

NPPES Registry Identity

NPI1023727633
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMICHAEL WALL, PC
Location Address362 HIGH STMaryville, TN 37804-5835
Mailing AddressPo Box 5777Maryville, TN 37802-5777 · (865) 246-2104 · Fax (865) 246-2106
Phone(865) 413-1589
Fax(865) 205-9475
Organization SubpartNo
Authorized OfficialMichael WallOwner · (865) 995-4643
Enumeration DateNovember 22, 2022
NPPES CertifiedNovember 22, 2022
✔ NPI 1023727633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
362 HIGH ST, Maryville, TN 37804
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2271402

Michael Wall PC · Maryville, TN
Active · expires Nov 1, 2026
CLIA Number44D2271402
Laboratory TypePractitioner Other
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorMichael D. Wall
Laboratory Phone(865) 413-1589
Laboratory LocationMichael Wall PC362 High Street, Maryville, TN 37804
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Wall, PC's NPI number?

The NPI number for Michael Wall, PC is 1023727633. It was assigned to this organization in the NPPES registry on November 22, 2022.

Where is Michael Wall, PC located?

Michael Wall, PC is located at 362 High St, Maryville, TN 37804. The listed phone number is (865) 413-1589.

What is Michael Wall, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Michael Wall, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2271402) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Michael Wall, PC was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.