MR. JACK CHARLES MILLS (DC) – Chiropractor, NPI 1124167218

MR. JACK CHARLES MILLS (DC) is a healthcare provider. based in Sikeston, Maryland. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 4244 (MO). The NPI Number for MR. JACK CHARLES MILLS (DC) is 1124167218

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
MR. JACK CHARLES MILLS (DC)
NPI
1124167218
Phone
(573) 471-4652
Address
1222 LINN STREET
Enumeration Date
5 February 2007
Last Update Date
15 January 2008

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
5734759080
Graduation Year
1977 (49 years ago)
PAC ID
3274604871
Professional Enrollment ID
I20080625000050
Address ID
MO638012246SI809XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,129 CHIROPRACTIC in MO

Provider Addresses for MR. JACK CHARLES MILLS (DC)

  • 1222 LINN STREET

    SIKESTON, MD 63801

    Phone: (573) 471-4652

    Fax: (573) 471-4799

    Mailing address matches the actual address.

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: 2008-06-25

PECOS data refreshed: 2026-05-27

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
I20080625000050IChiropracticMOTBD

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
98940Chiropractic manipulative treatment, 1-2 spinal regions61098$0
View full utilization report →

Insurance plans in this area (ZIP 63801)

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Provider's Procedures

MR. JACK CHARLES MILLS (DC) performs procedures in CHIROPRACTIC. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CHIROPRACTICMO98940Chiropractic manipulative treatment, 1-2 spinal regions833113

Reviews

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Frequently asked questions

How is MR. JACK CHARLES MILLS (DC) identified in CMS data?
CMS-hosted NPPES data lists MR. JACK CHARLES MILLS (DC) with NPI 1124167218.
Does the file indicate MR. JACK CHARLES MILLS (DC) is practicing under active NPI?
Directory data currently reports MR. JACK CHARLES MILLS (DC) as active.
What healthcare role does MR. JACK CHARLES MILLS (DC) hold?
Scheduling teams often label MR. JACK CHARLES MILLS (DC) under Chiropractor. Clinical services aligned with this taxonomy classification.
Does MR. JACK CHARLES MILLS (DC) list a practice location?
Patients near Sikeston, Maryland may find MR. JACK CHARLES MILLS (DC) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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