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DR. JERRY COWART III
NPI 1841858305
Chiropractor in Fairfax, VA

Active since May 30, 2019
8500 EXECUTIVE PARK AVE STE 300, FAIRFAX, VA 22031(703) 698-7117(703) 698-5729 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jerry Cowart Iii NPPES

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

DR. JERRY COWART III (NPI 1841858305) is an individual chiropractor in Fairfax, Virginia, licensed in Virginia (0104557581) and active in the NPI registry since May 2019. He is a graduate of Other (2018).

NPPES Registry Identity

NPI1841858305
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JERRY COWART III
Location Address8500 EXECUTIVE PARK AVE STE 300Fairfax, VA 22031-2228
Mailing Address8500 Executive Park Ave Ste 300Fairfax, VA 22031-2228 · (703) 698-7117 · Fax (703) 698-5729
Phone(703) 698-7117
Fax(703) 698-5729
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 30, 2019
✔ NPI 1841858305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104557581
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.
8500 EXECUTIVE PARK AVE STE 300, Fairfax, VA 22031
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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 (PECOS)

Dr. Jerry Cowart Iii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981939402
PECOS Enrollment IDI20190705000011

Medicare Billing Reassignment

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

Multi Discipline Alternative Care Center, Ltd
Same address
Chiropractor
8500 EXECUTIVE PARK AVENUE, #300
Fairfax, VA 22031
  • Reassigned Medicare billing, District of Columbia enrollment
  • 6 clinicians in this Medicare group
NPI 1275729501 (703) 698-7117

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

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.
293 services24 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.

THERESA BENTON
Massage Therapist
8500 EXECUTIVE PARK AVE STE 300
FAIRFAX, VA 22031
Fairfax County (703) 698-7117
ANNABETH GOSS NC
Health and Wellness Coach
8500 EXECUTIVE PARK AVE STE 300
FAIRFAX, VA 22031
Fairfax County (703) 698-7117
GENALEE FERGUSON LMT
Massage Therapist
8500 EXECUTIVE PARK AVE STE 300
FAIRFAX, VA 22031
Fairfax County (571) 276-5148

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 Cowart's NPI number?

The NPI number for Jerry Cowart is 1841858305. It was assigned to this individual provider in the NPPES registry on May 30, 2019.

Where is Jerry Cowart located?

Jerry Cowart practices at 8500 Executive Park Ave Ste 300, Fairfax, VA 22031. The listed phone number is (703) 698-7117.

What is Jerry Cowart's specialty?

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

Is Jerry Cowart enrolled in Medicare?

Yes. Jerry Cowart is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jerry Cowart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Cowart reassigns Medicare benefits to Multi Discipline Alternative Care Center, Ltd (Fairfax, VA). 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 Jerry Cowart'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 Jerry Cowart was last updated on May 30, 2019. 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.