Carroll County Medical Clinic
NPI 1366752768 · Family Medicine Physician · Carrollton, MO
Carroll County Medical Clinic is a Family Medicine Physician organization in Carrollton, MO (NPI 1366752768).
Provider details
- NPI number
- 1366752768
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jerry Dover, Ceo(660) 542-1695
- License
- MD109202 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
- 2010-10-19
- Last updated
- 2010-10-19
Frequently asked questions
- What is Carroll County Medical Clinic's NPI number?
- Carroll County Medical Clinic's National Provider Identifier (NPI) is 1366752768, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Carroll County Medical Clinic?
- Carroll County Medical Clinic is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Carroll County Medical Clinic located?
- Carroll County Medical Clinic's practice location on file with NPPES is 1502 N Jefferson St, Carrollton, MO 64633-1948.
- What is Carroll County Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Carroll County Medical Clinic is (660) 542-3865.
- Who is the authorized official for Carroll County Medical Clinic?
- The authorized official listed on Carroll County Medical Clinic's NPPES record is Jerry Dover, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Carroll County Medical Clinic's NPI active?
- Yes — Carroll County Medical Clinic's NPI (1366752768) is active in the NPPES registry as of the last update on 2010-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.