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PEACOCK FAMILY CHIROPRACTIC LLC
NPI 1396166880
Chiropractor in Fishers, IN

Active since December 30, 2013
11773 COMMERCIAL DR, FISHERS, IN 46038(815) 222-1097 Get Directions Write a Review

NPPES record last updated: December 30, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Peacock Family Chiropractic Llc NPPES

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

PEACOCK FAMILY CHIROPRACTIC LLC (NPI 1396166880) is a healthcare organization registered as a chiropractor in Fishers, Indiana and active in the NPI registry since December 2013. The organization lists Kyle Douglass Peacock, Doctor Of Chiropractic / Owner, as its authorized official.

NPPES Registry Identity

NPI1396166880
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePEACOCK FAMILY CHIROPRACTIC LLC
Location Address11773 COMMERCIAL DRFishers, IN 46038-2904
Mailing Address11773 Commercial DrFishers, IN 46038-2904 · (815) 222-1097
Phone(815) 222-1097
Organization SubpartNo
Authorized OfficialKyle Douglass PeacockDoctor Of Chiropractic / Owner · (815) 222-1097
Enumeration DateDecember 30, 2013
✔ NPI 1396166880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IN · 08002740A
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.
11773 COMMERCIAL DR, Fishers, IN 46038
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peacock Family Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20140310000676Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Peacock Family Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kyle Peacock, D.C.
Chiropractic
NPI 1942621743
11773 COMMERCIAL DR
Fishers, IN 46038
(317) 752-4297
✔ Accepts MedicareSame address

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 Peacock Family Chiropractic LLC's NPI number?

The NPI number for Peacock Family Chiropractic LLC is 1396166880. It was assigned to this organization in the NPPES registry on December 30, 2013.

Where is Peacock Family Chiropractic LLC located?

Peacock Family Chiropractic LLC is located at 11773 Commercial Dr, Fishers, IN 46038. The listed phone number is (815) 222-1097.

What is Peacock Family Chiropractic LLC's specialty?

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

Is Peacock Family Chiropractic LLC enrolled in Medicare?

Yes. Peacock Family Chiropractic LLC is registered in the Medicare PECOS enrollment system.

When is Peacock Family Chiropractic LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Peacock Family Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Peacock Family Chiropractic LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Peacock Family Chiropractic LLC was last updated on December 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.