Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tyrone D Wallace, DC

Individual provider Chiropractor · NPI 1780633420

Tyrone D Wallace, DC is registered under Chiropractic in Lake City, South Carolina. Graduated from Sherman College of Straight Chiropractic in 1994, 32 years ago. Practices as a sole proprietor. Licensed in South Carolina.

Years since qualifying
32
Trained at
Sherman College of Straight Chiropractic
Licensed in
SC
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

263 Kelley St Ste 100
Lake City, SC 29560-2450
Phone: (843) 394-8274
Fax: (843) 394-1604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 1873 (SC)

Record details

NPI number1780633420
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedMay 9, 2006
Last updated in NPPESDecember 7, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolSHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Not indicated

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients19
Services billed 337 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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