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JACKSON CHIROPRACTIC PC
NPI 1982735536
Chiropractor in Champaign, IL

Active since March 07, 2007
2912 CROSSING COURT, 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: October 18, 2026.

About Jackson Chiropractic Pc NPPES

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

JACKSON CHIROPRACTIC PC (NPI 1982735536) is a healthcare organization registered as a chiropractor in Champaign, Illinois and active in the NPI registry since March 2007. The organization lists Clint Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1982735536
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJACKSON CHIROPRACTIC PC
Location Address2912 CROSSING COURTChampaign, IL 61822-6163
Mailing Address2912 Crossing CourtChampaign, IL 61822-6163 · (217) 351-7746 · Fax (662) 042-7748
Phone(217) 351-7746
Fax(866) 204-2774
Organization SubpartNo
Authorized OfficialClint JacksonPresident · (217) 351-7746
Enumeration DateMarch 7, 2007
Last NPPES UpdateJuly 30, 2021
NPPES CertifiedMay 4, 2021
✔ NPI 1982735536 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 COURT, Champaign, IL 61822
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Chiropractic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jackson Chiropractic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clint Jackson, D.C.
Chiropractic
NPI 1174569834
2912 CROSSING CT
Champaign, IL 61822
(217) 351-7746
Same 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 Jackson Chiropractic PC's NPI number?

The NPI number for Jackson Chiropractic PC is 1982735536. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Jackson Chiropractic PC located?

Jackson Chiropractic PC is located at 2912 Crossing Court, Champaign, IL 61822. The listed phone number is (217) 351-7746.

What is Jackson Chiropractic PC's specialty?

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

Is Jackson Chiropractic PC enrolled in Medicare?

Yes. Jackson Chiropractic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jackson Chiropractic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Jackson Chiropractic PC. 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 Jackson Chiropractic PC was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.