MR. JOHN CHARLES BLAKELY WALL D.C.
NPI 1972694396
Chiropractor in Chattanooga, TN

Active since September 28, 2006
1334 MACKEY BRANCH DR, SUITE 104, CHATTANOOGA, TN 37421(423) 296-2604(423) 296-2607 Get Directions Write a Review

NPPES record last updated: May 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John Charles Blakely Wall D.c. NPPES

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

MR. JOHN CHARLES BLAKELY WALL D.C. (NPI 1972694396) is an individual chiropractor in Chattanooga, Tennessee, licensed in Georgia (CHIR005485) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1972694396
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. JOHN CHARLES BLAKELY WALLCredential: D.C.
Location Address1334 MACKEY BRANCH DR, SUITE 104Chattanooga, TN 37421-3471
Mailing Address1334 Mackey Branch Dr, Suite 104Chattanooga, TN 37421-3471 · (423) 296-2604 · Fax (423) 296-2607
Fax(423) 296-2607
Sole ProprietorYes
Enumeration DateSeptember 28, 2006
Last NPPES UpdateMay 25, 2016
NPI 1972694396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses Licensed in GA · CHIR005485 Licensed in TN · DC0000001504
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.
1334 MACKEY BRANCH DR, Chattanooga, TN 37421

Other Identifiers 2

Medicare UPINU78769GA
Medicare PIN35ZCGWPGA

Other Providers at the Same Location NPPES 5

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

Physician Assistant
1334 MACKEY BRANCH DR, SUITE 103
CHATTANOOGA, TN 37421
Chiropractor
1334 MACKEY BRANCH DR, SUITE 103
CHATTANOOGA, TN 37421
Specialist
1334 MACKEY BRANCH DR, SUITE 104
CHATTANOOGA, TN 37421
Physical Medicine & Rehabilitation
1334 MACKEY BRANCH DR, SUITE 104
CHATTANOOGA, TN 37421
Chiropractor
1334 MACKEY BRANCH DR, SUITE 104
CHATTANOOGA, TN 37421

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 John Wall's NPI number?

The NPI number for John Wall is 1972694396. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is John Wall located?

John Wall practices at 1334 Mackey Branch Dr Suite 104, Chattanooga, TN 37421. The listed phone number is (423) 296-2604.

What is John Wall's specialty?

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

When was this NPI record last updated?

The NPPES record for John Wall was last updated on May 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.