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DR. CLINT A JACKSON D.C.
NPI 1174569834
Chiropractor in Champaign, IL

Active since June 21, 2006
2912 CROSSING CT, CHAMPAIGN, IL 61822(217) 351-7746(866) 204-2774 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Clint A Jackson D.c. NPPES

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

DR. CLINT A JACKSON D.C. (NPI 1174569834) is an individual chiropractor in Champaign, Illinois, licensed in Illinois (038010337) and active in the NPI registry since June 2006. He is a graduate of Palmer College Chiropractic - Davenport (2004).

NPPES Registry Identity

NPI1174569834
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. CLINT A JACKSONCredential: D.C.
Location Address2912 CROSSING CTChampaign, IL 61822-6163
Mailing Address2912 Crossing CourtChampaign, IL 61822-6163 · (217) 351-7746 · Fax (866) 204-2774
Phone(217) 351-7746
Fax(866) 204-2774
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2004
Enumeration DateJune 21, 2006
Last NPPES UpdateJuly 30, 2021
NPPES CertifiedMay 4, 2021
✔ NPI 1174569834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038010337
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.

2912 CROSSING CT, Champaign, IL 61822
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Clint A Jackson D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668523408
PECOS Enrollment IDI20090707000708

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
817 services53 patients

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 Clint Jackson's NPI number?

The NPI number for Clint Jackson is 1174569834. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Clint Jackson located?

Clint Jackson practices at 2912 Crossing Ct, Champaign, IL 61822. The listed phone number is (217) 351-7746.

What is Clint Jackson's specialty?

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

Is Clint Jackson enrolled in Medicare?

Yes. Clint Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clint Jackson was last updated on July 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.