Michael Wall, PC
NPI 1023727633 · Primary Care Clinic/Center · Maryville, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Wall, PC is a Primary Care Clinic/Center organization in Maryville, TN (NPI 1023727633).
Provider details
- NPI number
- 1023727633
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Wall, Owner(865) 995-4643
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-11-22
- Last updated
- 2022-11-22
- Certified
- 2022-11-22
Frequently asked questions
- What is Michael Wall, PC's NPI number?
- Michael Wall, PC's National Provider Identifier (NPI) is 1023727633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michael Wall, PC?
- Michael Wall, PC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Michael Wall, PC located?
- Michael Wall, PC's practice location on file with NPPES is 362 High St, Maryville, TN 37804-5835.
- What is Michael Wall, PC's phone number?
- The practice phone number listed in the NPPES registry for Michael Wall, PC is (865) 413-1589.
- Does Michael Wall, PC accept Medicare?
- Michael Wall, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Michael Wall, PC?
- The authorized official listed on Michael Wall, PC's NPPES record is Michael Wall, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michael Wall, PC's NPI active?
- Yes — Michael Wall, PC's NPI (1023727633) is active in the NPPES registry as of the last update on 2022-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.