Individual provider Active NPI

Zachary Grant Causey, DC

  • Chiropractor
  • Myrtle Beach, SC
National Provider Identifier
1013025931
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2119 Issued in SC
Practice address
223 Fresh Dr Unit B
Myrtle Beach, SC 29579-4462
Phone
(843) 903-5772
Fax
(877) 471-4713
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2119 SC Primary

Addresses

Primary practice location

223 Fresh Dr Unit B
Myrtle Beach, SC 29579-4462

Mailing address

223 Fresh Dr Unit B
Myrtle Beach, SC 29579-4462
Phone (843) 903-5772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040210000886 SC Practitioner - Chiropractic 8628962735 Reassigns benefits to 1 organization
Practice locations: Surfside Beach, SC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

223 Fresh Dr
Unit B
Myrtle Beach, SC 29579-4462
Phone (843) 903-5772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2119SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Back Shak LLC Chiropractor CurrentSince May 13, 2023 Accepting new patients
Causey Chiropractic Center Chiropractor PastSince Jan 1, 1990 Accepting new patients

Locations

223 Fresh Dr
Unit B
Myrtle Beach, SC 29579
Phone (843) 903-5772

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1013025931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 FRESH DR UNIT B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794462",
            "telephone_number": "843-903-5772",
            "fax_number": "877-471-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 FRESH DR UNIT B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794462",
            "telephone_number": "843-903-5772",
            "fax_number": "877-471-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUSEY",
        "first_name": "ZACHARY",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.