E.D. JOHNNIE LLC
NPI 1740567577
Chiropractor in O Fallon, MO
About E.d. Johnnie Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
E.D. JOHNNIE LLC (NPI 1740567577) is a healthcare organization registered as a chiropractor in O Fallon, Missouri and active in the NPI registry since November 2011. The organization lists Edward Johnnie, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
E.d. Johnnie Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to E.D. Johnnie LLC, 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 E.D. Johnnie LLC's NPI number?
The NPI number for E.D. Johnnie LLC is 1740567577. It was assigned to this organization in the NPPES registry on November 8, 2011.
Where is E.D. Johnnie LLC located?
E.D. Johnnie LLC is located at 1137 N Main St Ste 1, O Fallon, MO 63366. The listed phone number is (636) 294-4530.
What is E.D. Johnnie LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is E.D. Johnnie LLC enrolled in Medicare?
Yes. E.D. Johnnie LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through E.D. Johnnie LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to E.D. Johnnie LLC. 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.
When was this NPI record last updated?
The NPPES record for E.D. Johnnie LLC was last updated on March 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# E.d. Johnnie Llc · NPI 1740567577
Chiropractor organization in O Fallon, Missouri. Organization record, active in the CMS NPPES registry since November 8, 2011.
## Identity
- **NPI:** 1740567577 (Entity type: Organization)
- **Enumerated:** November 8, 2011
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Edward Johnnie, OWNER
## Practice location
- **Address:** 1137 N MAIN ST STE 1, O Fallon, MO 63366-1498
- **Phone:** (636) 294-4530
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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:** March 2, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1740567577) · Data from the CMS NPPES public registry.