Family Medicine
CARROLL COUNTY MEDICAL CLINIC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1366752768 · enumerated 2010-10-19 · record updated 2010-10-19. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JERRY DOVER, CEO · (660) 542-1695
Addresses and phones
- Mailing address 1502 N JEFFERSON ST, SUITE A B, CARROLLTON, MO, 64633-1948 (660) 542-3865 Fax (660) 542-0336 Google Maps Apple Maps OpenStreetMap
- Practice location 1502 N JEFFERSON ST, ST SUITE A B, CARROLLTON, MO, 64633-1948 (660) 542-3865 Fax (660) 542-0336 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · License MD109202 MO
- Internal Medicine 207R00000X · License MD106594 MO
- Pediatrics, Adolescent Medicine 2080A0000X · License MD109202 MO
- Family Medicine 207Q00000X · Primary · License MD106594 MO
In this directory
Locations and evidence
-
Practice location
CARROLLTON, MO, 646331948
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.