DR. CLINT A JACKSON (D.C.) – Chiropractor, NPI 1174569834

DR. CLINT A JACKSON (D.C.) is a healthcare provider. based in Champaign, Illinois. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 038010337 (IL). The NPI Number for DR. CLINT A JACKSON (D.C.) is 1174569834

Main info

Male
22 Years Of Experience
Name
DR. CLINT A JACKSON (D.C.)
NPI
1174569834
Phone
(217) 351-7746
Address
2912 CROSSING COURT
Enumeration Date
21 June 2006
Last Update Date
30 July 2021

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
2173517746
Graduation Year
2004 (22 years ago)
PAC ID
2668523408
Professional Enrollment ID
I20090707000708
Address ID
IL618226163CH2912XCTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,153 CHIROPRACTIC in IL

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Provider Addresses for DR. CLINT A JACKSON (D.C.)

  • 2912 CROSSING COURT

    CHAMPAIGN, IL 618226163

    Phone: (217) 351-7746

    Fax: (866) 204-2774

    Type: Mailing

  • Jackson Chiropractic & Acupuncture, 1739, West Kirby Avenue, Champaign, Champaign County, Illinois, 61821, United States

    CHAMPAIGN, IL 618215500

    Phone: (217) 351-7746

    Fax: (217) 351-4177

    Type: Mailing

  • 2912 CROSSING CT

    CHAMPAIGN, IL 618226163

    Phone: (217) 351-7746

    Fax: (866) 204-2774

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-07-07

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090707000708IChiropracticILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions96761$0
View full utilization report →

Insurance plans in this area (ZIP 61822)

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Provider's Procedures

DR. CLINT A JACKSON (D.C.) performs procedures in CHIROPRACTIC. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CHIROPRACTICIL98940Chiropractic manipulative treatment, 1-2 spinal regions76642

Reviews

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Frequently asked questions

How is DR. CLINT A JACKSON (D.C.) identified in CMS data?
CMS-hosted NPPES data lists DR. CLINT A JACKSON (D.C.) with NPI 1174569834.
Can I rely on DR. CLINT A JACKSON (D.C.) being an active provider?
As of the registry snapshot, DR. CLINT A JACKSON (D.C.) is marked active.
What is DR. CLINT A JACKSON (D.C.)'s specialty?
The listing groups DR. CLINT A JACKSON (D.C.) with Chiropractor. Clinical services aligned with this taxonomy classification.
Where is DR. CLINT A JACKSON (D.C.) based?
DR. CLINT A JACKSON (D.C.) is tied to Champaign, Illinois in the data we show; additional addresses may exist on the full record.
Why does DR. CLINT A JACKSON (D.C.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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