MURPHYSBORO CHIROPRACTIC CLINIC, PC – Chiropractor, NPI 1548297872

MURPHYSBORO CHIROPRACTIC CLINIC, PC is a healthcare provider. based in Murphysboro, Illinois. specializing in Chiropractor. The NPI Number for MURPHYSBORO CHIROPRACTIC CLINIC, PC is 1548297872

Main info

Organization
Name
MURPHYSBORO CHIROPRACTIC CLINIC, PC
NPI
1548297872
Phone
(618) 684-3344
Address
1200 LOCUST ST
Authorized Official
DR. JASON RYAN WHITACRE VICE PRESIDENT D.C.
Enumeration Date
26 June 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for MURPHYSBORO CHIROPRACTIC CLINIC, PC

  • 1200, Locust Street, Murphysboro, Jackson County, Illinois, 62966, United States

    MURPHYSBORO, IL 629662121

    Phone: (618) 684-3344

    Fax: (618) 684-2216

    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: 2006-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-08-31 (282 days ago).

Enrollment records

1

Earliest due date

2025-08-31

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
O20061026000291OClinic/Group PracticeIL2025-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62966)

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Reviews

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Frequently asked questions

Can I use this page to confirm MURPHYSBORO CHIROPRACTIC CLINIC, PC's NPI?
Yes. MURPHYSBORO CHIROPRACTIC CLINIC, PC is listed with NPI 1548297872 in the public NPI dataset.
Does the file indicate MURPHYSBORO CHIROPRACTIC CLINIC, PC is practicing under active NPI?
Directory data currently reports MURPHYSBORO CHIROPRACTIC CLINIC, PC as active.
What taxonomy line describes MURPHYSBORO CHIROPRACTIC CLINIC, PC?
For research purposes, treat MURPHYSBORO CHIROPRACTIC CLINIC, PC as Chiropractor in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MURPHYSBORO CHIROPRACTIC CLINIC, PC on a map?
Expect Murphysboro, Illinois as a primary anchor for MURPHYSBORO CHIROPRACTIC CLINIC, PC unless the record lists multiple sites.
Is the information about MURPHYSBORO CHIROPRACTIC CLINIC, PC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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