NPIMap

Individual provider Active NPI

Jeremy R Carrier, MD

  • Family Medicine Physician
  • Elmwood, IL
National Provider Identifier
1871753921
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036128734 Issued in IL
Practice address
1024 N Magnolia St
Elmwood, IL 61529-9602
Phone
(309) 742-6334
Fax
(309) 649-6880
NPI assigned
Jun 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036128734 IL Primary

Addresses

Primary practice location

1024 N Magnolia St
Elmwood, IL 61529-9602

Mailing address

180 S Main St
Canton, IL 61520-2608
Phone (309) 647-0201

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeremy.carrier@gmgil.eclinicaldirectplus.com Health Information Exchange (HIE) GRAHAM HOSPITAL ASSOCIATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111201000472 IL Practitioner - Family Practice 5496929473 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osf Healthcare SystemGroup PAC ID 4284541806, 94 clinicians

Practice addresses (Care Compare)

1000 W Harlem Ave
Monmouth, IL 61462-1007
Phone (309) 734-3141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Healthcare System Current Accepting new patients
St Mary Medical Center CurrentSince Dec 1, 2022 Accepting new patients
Osf Healthcare System CurrentSince Aug 16, 2021 Accepting new patients
Osf Multi-Specialty Group CurrentSince Nov 1, 2022 Accepting new patients
St Mary Medical Center Current Accepting new patients
Graham Hospital Association CurrentSince Mar 4, 2019 Accepting new patients
Osf Healthcare System CurrentSince Aug 16, 2021 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
St Mary Medical Center Family Medicine CurrentSince Dec 1, 2022 Accepting new patients
Graham Hospital Association CurrentSince Mar 4, 2019 Accepting new patients

Locations

180 S Main St
Canton, IL 61520
Phone (309) 647-5240

210 W Walnut St
Canton, IL 61520
Phone (309) 647-5240

1024 N Magnolia St
Elmwood, IL 61529
Phone (309) 742-6334

834 N Seminary St
Ste 304
Galesburg, IL 61401
Phone (309) 342-2144

834 N Seminary St
Galesburg, IL 61401
Phone (309) 343-5114

695 N Kellogg St
Galesburg, IL 61401
Phone (309) 343-8131

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

Organizations & group practices 10

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1871753921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S MAIN ST",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615202608",
            "telephone_number": "309-647-0201",
            "fax_number": "309-647-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 N MAGNOLIA ST",
            "city": "ELMWOOD",
            "state": "IL",
            "postal_code": "615299602",
            "telephone_number": "309-742-6334",
            "fax_number": "309-649-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIER",
        "first_name": "JEREMY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036128734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeremy.carrier@gmgil.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "GRAHAM HOSPITAL ASSOCIATION",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1024 N Magnolia St",
            "city": "Elmwood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "615299602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elmwood, IL

Sources for this page

Verify at the official NPI Registry.