North Carolina
Chiropractic Information
North Carolina Chiropractic Summary
Practice of chiropractic includes the treatment through manipulation/adjustment of the spine and other skeletal structures. All examinations performed by chiropractors shall be in accordance with the protocol and procedures as taught in the majority of accredited chiropractic colleges.
Licensing Requirements
Post-Licensing Education
Continuing Education requirements
18 hours required every year. All hours may be earned online, but must include interaction with the instructor (Live Webinar) or a minimum of 10 hours classroom credits and max 8 hours distance/ on-demand.
requirements for educators
When registering as a board approved CE Provider, CE Broker will lead you through a simplified registration process. You will be asked to submit a CE provider profile and primary contact information. You will not be required to submit documentation to register as a provider with CE Broker. Once registered, you will need to submit a course application with applicable documentation.
Link: https://ncchiroboard.com/wp-content/uploads/2024/07/CEB-Flyer-Provider-Acct-Setup_NC-Chiro-July23-2024.pdf
Are PACE courses accepted for continuing education requirements?
YES
Delaware requires examinations through the National Board of Chiropractic Examiners
Part I, Part II, Part III, Part IV, Physiotherapy, Acupuncture
State Chiropractic Online Resources
Regulatory Authority
North Carolina Board of Chiropractic Examiners: https://ncchiroboard.com/
Chiropractic Statutes and Regulations
Guidelines for the Practice of Chiropractic in North Carolina:
https://www.ncleg.net/Enactedlegislation/Statutes/HTML/ByArticle/Chapter_90/Article_8.html
Statutes:
https://www.ncleg.net/Enactedlegislation/Statutes/HTML/ByArticle/Chapter_90/Article_8.html
State Government Resources
State Legislature Homepage
State Legislature Bill Search Tool
Legislative member roster
State Governor's Office
Secretary of State
Office of the Insurance Commissioner
State Associations
State Chiropractic Coverage
Worker’s Compensation
North Carolina Industrial Commission: https://www.ic.nc.gov/
Workers Comp Provider Information https://www.ic.nc.gov/medproviders.html
Workers Comp Fee Schedule https://www.ic.nc.gov/medfeeschdisclaimer.html
Medicaid
NC Medicaid Division of Health Benefits: https://www.medicaid.nv.gov/
NC Medicaid Division of Health Benefits Fee Schedule https://ncdhhs.servicenowservices.com/fee_schedules
NC Medicaid Division of Health Benefits Provider Enrollment https://medicaid.ncdhhs.gov/providers/provider-enrollment
Practice Options
| Perform extremity adjustments? | Y |
| Provide nutritional advice? | Y |
| Provide manipulation under anesthesia? | N/A |
| Provide school enrollment exams? | Y |
| Provide sports physical exams? | N1 |
| Provide return to play exams (including concussion protocol) for sports participation? | N |
| Perform US Department of Transportation exams? | Y2 |
| Treat animals? | N/A |
| Perform acupuncture? | Y3 |
| Perform dry needling? | Y4 |
| Perform intraoral TMJ treatments? | Y |
| Perform internal coccyx adjustments? | Y |
| Are there limits to body areas DCs are allowed to examine and/or treat? | Y5 |
| Are there limits on diagnostic tools DCs are allowed to use? | N |
| Perform venipuncture? | N/A |
| Perform casting? | N |
Qualifications:
1. There is a state rule that public school athletic examinations be performed and signed by a MD, PA or Nurse Practitioner.
2. A chiropractor can perform a Department of Transportation (DOT) physical exam if they are a certified medical examiner (CME) listed on the Federal Motor Carrier Safety Administration’s (FMCSA) National Registry.
3. Yes, chiropractors in North Carolina can perform acupuncture after completing the required education and certification.
4. Yes, licensed chiropractors in North Carolina can perform dry needling if they have completed the required training.
5. Chiropractors in North Carolina are not permitted to: Prescribe or administer medicine or drugs and Practice osteopathy or surgery. Link: https://www.ncchiroboard.com/wp-content/uploads/2018/03/Guidelines-for-Practice-of-Chiro-in-NC.pdf