EDMORE CHIROPRACTIC CLINIC, PLLC
NPI 1124032040
Chiropractor in Edmore, MI
About Edmore Chiropractic Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDMORE CHIROPRACTIC CLINIC, PLLC (NPI 1124032040) is a healthcare organization registered as a chiropractor in Edmore, Michigan and active in the NPI registry since July 2006. The organization lists Jeffrey Kenneth Lee, Owner/operator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edmore Chiropractic Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Edmore Chiropractic Clinic, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Edmore Chiropractic Clinic, PLLC's NPI number?
The NPI number for Edmore Chiropractic Clinic, PLLC is 1124032040. It was assigned to this organization in the NPPES registry on July 28, 2006.
Where is Edmore Chiropractic Clinic, PLLC located?
Edmore Chiropractic Clinic, PLLC is located at 215 W Howard City Edmore Rd, Edmore, MI 48829. The listed phone number is (989) 427-5551.
What is Edmore Chiropractic Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Edmore Chiropractic Clinic, PLLC enrolled in Medicare?
Yes. Edmore Chiropractic Clinic, PLLC is registered in the Medicare PECOS enrollment system.
When is Edmore Chiropractic Clinic, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Edmore Chiropractic Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Edmore Chiropractic Clinic, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Edmore Chiropractic Clinic, PLLC accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Edmore Chiropractic Clinic, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Edmore Chiropractic Clinic, PLLC was last updated on July 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Edmore Chiropractic Clinic, Pllc · NPI 1124032040
Chiropractor organization in Edmore, Michigan. Organization record, active in the CMS NPPES registry since July 28, 2006.
## Identity
- **NPI:** 1124032040 (Entity type: Organization)
- **Enumerated:** July 28, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Jeffrey Lee, OWNER/OPERATOR
## Practice location
- **Address:** 215 W HOWARD CITY EDMORE RD, Edmore, MI 48829-9779
- **Phone:** (989) 427-5551 · **Fax:** (989) 427-3102
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 22, 2008
- **Other identifiers:** Medicare UPIN U57288 (MI); Other 0E95013 (MI); Medicare ID-Type Unspecified ON39060 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1124032040) · Data from the CMS NPPES public registry.