LAKE CHIROPRACTIC, PC
NPI 1972659464
Chiropractor in Palmyra, VA
About Lake Chiropractic, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE CHIROPRACTIC, PC (NPI 1972659464) is a healthcare organization registered as a chiropractor in Palmyra, Virginia and active in the NPI registry since January 2007. The organization lists Richard E. Wells, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lake Chiropractic, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lake Chiropractic, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lake Chiropractic, PC's NPI number?
The NPI number for Lake Chiropractic, PC is 1972659464. It was assigned to this organization in the NPPES registry on January 26, 2007.
Where is Lake Chiropractic, PC located?
Lake Chiropractic, PC is located at 11 Centre Ct, Palmyra, VA 22963. The listed phone number is (434) 589-8005.
What is Lake Chiropractic, PC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Lake Chiropractic, PC enrolled in Medicare?
Yes. Lake Chiropractic, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Chiropractic, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Lake Chiropractic, PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lake Chiropractic, PC was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Lake Chiropractic, Pc · NPI 1972659464
Chiropractor organization in Palmyra, Virginia. Organization record, active in the CMS NPPES registry since January 26, 2007.
## Identity
- **NPI:** 1972659464 (Entity type: Organization)
- **Enumerated:** January 26, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Richard Wells, PRESIDENT
## Practice location
- **Address:** 11 CENTRE CT, Palmyra, VA 22963-2329
- **Phone:** (434) 589-8005 · **Fax:** (434) 589-1401
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1972659464) · Data from the CMS NPPES public registry.