1. Home
  2. Directory
  3. Mississippi
  4. Starkville
  5. Chiropractor
  6. NPI Profile

CLARA BAILEY WALLACE DC
NPI 1629795885
Chiropractor in Starkville, MS

Active since October 27, 2022Accepts Medicare Assignment
46 LYNN LN STE 1, STARKVILLE, MS 39759(662) 546-4400 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 8, 2024, Oct 27, 2022 (2 updates tracked since 2022).

About Clara Bailey Wallace Dc NPPES

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

CLARA BAILEY WALLACE DC (NPI 1629795885) is an individual chiropractor in Starkville, Mississippi, licensed in Georgia (CHIR010833) and active in the NPI registry since October 2022. She is a graduate of Life Chiropractic College (2022).

NPPES Registry Identity

NPI1629795885
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameCLARA BAILEY WALLACECredential: DC
Location Address46 LYNN LN STE 1Starkville, MS 39759-9269
Mailing Address46 Lynn Ln Ste 1Starkville, MS 39759-9269 · (662) 546-4400 · Fax (662) 268-4634
Phone(662) 546-4400
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2022
Enumeration DateOctober 27, 2022
Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1629795885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIR010833
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

46 LYNN LN STE 1, Starkville, MS 39759
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clara Bailey Wallace Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032566930
PECOS Enrollment IDI20240607002747

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARWAKEE HENLEY
Chiropractor
46 LYNN LN STE 1
STARKVILLE, MS 39759
Oktibbeha County (662) 546-4400
HANNAH L BALL DC
Chiropractor (Rehabilitation)
46 LYNN LN STE 1
STARKVILLE, MS 39759
Oktibbeha County (662) 546-4400

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 Clara Wallace's NPI number?

The NPI number for Clara Wallace is 1629795885. It was assigned to this individual provider in the NPPES registry on October 27, 2022.

Where is Clara Wallace located?

Clara Wallace practices at 46 Lynn Ln Ste 1, Starkville, MS 39759. The listed phone number is (662) 546-4400.

What is Clara Wallace's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Clara Wallace enrolled in Medicare?

Yes. Clara Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Clara Wallace was last updated on July 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.