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DR. JERAMY DAVID BLACKWOOD D.C.
NPI 1174852016
Chiropractor in Milan, IL

Active since December 23, 2009Accepts Medicare Assignment
222 10TH AVE E, MILAN, IL 61264(309) 520-0222(309) 786-0797 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jeramy David Blackwood D.c. NPPES

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

DR. JERAMY DAVID BLACKWOOD D.C. (NPI 1174852016) is an individual chiropractor in Milan, Illinois, licensed in Illinois (038.011293) and active in the NPI registry since December 2009. He is a graduate of Other (2008).

NPPES Registry Identity

NPI1174852016
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JERAMY DAVID BLACKWOODCredential: D.C.
Location Address222 10TH AVE EMilan, IL 61264-3120
Mailing Address222 10th Ave EMilan, IL 61264-3120 · (309) 520-0222
Phone(309) 520-0222
Fax(309) 786-0797
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateDecember 23, 2009
Last NPPES UpdateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
✔ NPI 1174852016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038.011293
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.
222 10TH AVE E, Milan, IL 61264
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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. Jeramy David Blackwood 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 ID9931381738
PECOS Enrollment IDI20110316000240

Medicare Billing Reassignment

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

Blackwood Chiropractic, PLLC
Same address
Chiropractor
222 10TH AVE E
Milan, IL 61264
  • Reassigned Medicare billing, Illinois enrollment
NPI 1740165810 (309) 520-0222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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, 5 spinal regions 98942
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.
246 services29 patients
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.
232 services27 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLACKWOOD CHIROPRACTIC, PLLC
Chiropractor
222 10TH AVE E
MILAN, IL 61264
Rock Island County (309) 520-0222
EWEN CHIROPRACTIC LLC
Chiropractor
222 10TH AVE E
MILAN, IL 61264
Rock Island County (309) 787-9660
DR. JAMES L. HUDSON D.C.
Chiropractor
222 10TH AVE E
MILAN, IL 61264
Rock Island County (309) 787-9660

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 Jeramy Blackwood's NPI number?

The NPI number for Jeramy Blackwood is 1174852016. It was assigned to this individual provider in the NPPES registry on December 23, 2009.

Where is Jeramy Blackwood located?

Jeramy Blackwood practices at 222 10th Ave E, Milan, IL 61264. The listed phone number is (309) 520-0222.

What is Jeramy Blackwood's specialty?

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

Is Jeramy Blackwood enrolled in Medicare?

Yes. Jeramy Blackwood 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 Jeramy Blackwood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeramy Blackwood reassigns Medicare benefits to Blackwood Chiropractic, PLLC (Milan, IL). 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 Jeramy Blackwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeramy Blackwood accept?

Health plans from Providence Health Plan list Jeramy Blackwood as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeramy Blackwood was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.