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

Charles Edward Wall Jr., MD

Individual provider Surgery Physician · NPI 1073717955

Charles Edward Wall Jr., MD is a General Surgery in Starkville, Mississippi. Graduated from University of Mississippi School of Medicine in 2002, 24 years ago. Practices with Och Professional Services, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
24
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

102 Doctors Park
Starkville, MS 39759-2570
Phone: (662) 615-3800
Fax: (662) 615-3807
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 Hospital Rd, Starkville, MS 39759-2163 — (662) 323-4230

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 19801 (MS)

Record details

NPI number1073717955
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2007
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Och Professional Services — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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