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MR. JERRY E CARTER DC
NPI 1407935695
Chiropractor in Peoria, IL

Active since November 06, 2006Accepts Medicare Assignment
1605 W CANDLETREE DRIVE, SUITE 111, PEORIA, IL 61614(309) 691-0486(309) 683-1113 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jerry E Carter Dc NPPES

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

MR. JERRY E CARTER DC (NPI 1407935695) is an individual chiropractor in Peoria, Illinois and active in the NPI registry since November 2006. He is a graduate of Palmer College Chiropractic - Davenport (1980).

NPPES Registry Identity

NPI1407935695
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. JERRY E CARTERCredential: DC
Location Address1605 W CANDLETREE DRIVE, SUITE 111Peoria, IL 61614
Mailing Address1605 W Candletree Drive, Suite 111Peoria, IL 61614 · (309) 691-0486 · Fax (309) 683-1113
Phone(309) 691-0486
Fax(309) 683-1113
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1980
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407935695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
1605 W CANDLETREE DRIVE, Peoria, IL 61614
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Other Identifiers 1

Medicare UPIN660440

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jerry E Carter Dc 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 ID7012047400
PECOS Enrollment IDI20100610001027

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.
419 services32 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 Jerry Carter's NPI number?

The NPI number for Jerry Carter is 1407935695. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Jerry Carter located?

Jerry Carter practices at 1605 W Candletree Drive Suite 111, Peoria, IL 61614. The listed phone number is (309) 691-0486.

What is Jerry Carter's specialty?

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

Is Jerry Carter enrolled in Medicare?

Yes. Jerry Carter 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.

When was this NPI record last updated?

The NPPES record for Jerry Carter was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.