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DR. LEROY O DEWITT III D.C.
NPI 1164561452
Chiropractor in St George, UT

Active since February 05, 2007Accepts Medicare Assignment
1067 E TABERNACLE ST STE 4, ST GEORGE, UT 84770(435) 688-9551(435) 688-9192 Get Directions Write a Review

NPPES record last updated: December 31, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Leroy O Dewitt Iii D.c. NPPES

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

DR. LEROY O DEWITT III D.C. (NPI 1164561452) is an individual chiropractor in St George, Utah, licensed in Utah (4879417-1202) and active in the NPI registry since February 2007. He is a graduate of Western States College Of Chiropractic (2000).

NPPES Registry Identity

NPI1164561452
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. LEROY O DEWITT IIICredential: D.C.
Location Address1067 E TABERNACLE ST STE 4St George, UT 84770-6771
Mailing Address1070 W 1600 S, Ste A102St George, UT 84770-5569 · (435) 688-9551 · Fax (435) 215-2450
Phone(435) 688-9551
Fax(435) 688-9192
Sole ProprietorYes
Medical School CMSWestern States College Of ChiropracticGraduated 2000
Enumeration DateFebruary 5, 2007
Last NPPES UpdateDecember 31, 2018
✔ NPI 1164561452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in UT · 4879417-1202
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.
1067 E TABERNACLE ST STE 4, St George, UT 84770
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Leroy O Dewitt Iii D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759295595
PECOS Enrollment IDI20031117000524

Medicare Billing Reassignment

Medicare enrollment records show Leroy Dewitt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Whistln' Dixie Chiropractic P.C.
3.5 mi
Chiropractor
552 N DIXIE DR, SUITE C
St George, UT 84770
  • Reassigned Medicare billing, Utah enrollment
NPI 1750553228 (435) 688-9551

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 Leroy Dewitt's NPI number?

The NPI number for Leroy Dewitt is 1164561452. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Leroy Dewitt located?

Leroy Dewitt practices at 1067 E Tabernacle St Ste 4, St George, UT 84770. The listed phone number is (435) 688-9551.

What is Leroy Dewitt's specialty?

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

Is Leroy Dewitt enrolled in Medicare?

Yes. Leroy Dewitt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Leroy Dewitt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leroy Dewitt reassigns Medicare benefits to Whistln' Dixie Chiropractic P.C. (St George, UT). The 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 Leroy Dewitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Leroy Dewitt was last updated on December 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.