Individual provider Active NPI

Payton Williams, DC

  • Chiropractor
  • Carterville, IL
National Provider Identifier
1487519286
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038014390 Issued in IL
Practice address
310 W Plaza Dr
Carterville, IL 62918-1980
Phone
(618) 985-4344
NPI assigned
Dec 23, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038014390 IL Primary

Addresses

Primary practice location

310 W Plaza Dr
Carterville, IL 62918-1980

Mailing address

310 W Plaza Dr
Carterville, IL 62918-1980
Phone (618) 985-4344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260130001860 IL Practitioner - Chiropractic 7113405259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Health of Southern Illinois LTDGroup PAC ID 2365401122, 23 clinicians

Practice addresses (Care Compare)

310 W Plaza Dr
Cartersviille, IL 62918-1980
Phone (618) 985-4344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038014390ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health of Southern Illinois Chiropractor CurrentSince Jan 8, 2026 Accepting new patients
Integrated Health of Southern Illinois, LTD. Chiropractor CurrentSince Jan 8, 2026 Accepting new patients

Locations

310 W Plaza Dr
Carterville, IL 62918
Phone (618) 525-0719

303 S Commercial St
Ste 10
Harrisburg, IL 62946
Phone (618) 252-5555

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26231/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1487519286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W PLAZA DR",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629181980",
            "telephone_number": "618-985-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W PLAZA DR",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629181980",
            "telephone_number": "618-985-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PAYTON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038014390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carterville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.