Mt Vernon Spine and Disc Center, LLC
NPI 1164701967 · Chiropractor · Mount Vernon, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mt Vernon Spine and Disc Center, LLC is a Chiropractor organization in Mount Vernon, IL (NPI 1164701967).
Provider details
- NPI number
- 1164701967
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Kenton Mcmahon, Doctor/Owner(618) 713-6800
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-08-10
- Last updated
- 2011-08-10
Frequently asked questions
- What is Mt Vernon Spine and Disc Center, LLC's NPI number?
- Mt Vernon Spine and Disc Center, LLC's National Provider Identifier (NPI) is 1164701967, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mt Vernon Spine and Disc Center, LLC?
- Mt Vernon Spine and Disc Center, LLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Mt Vernon Spine and Disc Center, LLC located?
- Mt Vernon Spine and Disc Center, LLC's practice location on file with NPPES is 1009 S 42nd St Ste 2b, Mount Vernon, IL 62864-6218.
- What is Mt Vernon Spine and Disc Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mt Vernon Spine and Disc Center, LLC is (618) 713-6800.
- Does Mt Vernon Spine and Disc Center, LLC accept Medicare?
- Mt Vernon Spine and Disc Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mt Vernon Spine and Disc Center, LLC?
- The authorized official listed on Mt Vernon Spine and Disc Center, LLC's NPPES record is Kenton Mcmahon, Doctor/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mt Vernon Spine and Disc Center, LLC's NPI active?
- Yes — Mt Vernon Spine and Disc Center, LLC's NPI (1164701967) is active in the NPPES registry as of the last update on 2011-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.