CLARA BAILEY WALLACE DC
NPI 1629795885
Chiropractor in Starkville, MS
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.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clara Bailey Wallace Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Clara Wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Starkville, MS 39759
- Reassigned Medicare billing, Mississippi enrollment
- 7 clinicians in this Medicare group
Columbus, MS 39701
- Reassigned Medicare billing, Mississippi enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 enrollment system.
Which organizations bill Medicare for Clara Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clara Wallace reassigns Medicare benefits to 2 organizations: Waldrop Chiropractic And Wellness, PLLC (Starkville, MS) and Wallace Brain And Spine, PLLC (Columbus, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clara Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Clara Wallace was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Clara Bailey Wallace, DC · NPI 1629795885
Chiropractor provider in Starkville, Mississippi. Individual provider, active in the CMS NPPES registry since October 27, 2022.
## Identity
- **NPI:** 1629795885 (Entity type: Individual)
- **Enumerated:** October 27, 2022
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CHIR010833 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 46 LYNN LN STE 1, Starkville, MS 39759-9269
- **Phone:** (662) 546-4400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Waldrop Chiropractic And Wellness, PLLC (NPI 1033420328, Starkville, MS); Wallace Brain And Spine, PLLC (NPI 1932083482, Columbus, MS) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1629795885) · Data from the CMS NPPES public registry.