Organization Active NPI

Mychiromed, P.a.

  • Chiropractor
  • Myrtle Beach, SC
National Provider Identifier
1063465045
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2874 Issued in SC
Legal business name
MYCHIROMED, P.A.
Practice address
4012 Postal Way Ste a
Myrtle Beach, SC 29579-3298
Phone
(843) 236-6291
Fax
(843) 872-9190
NPI assigned
May 18, 2006
Last updated
Feb 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Neal Warren Lange Jr., DCNPI 1194797548
Title
President
Phone
(843) 236-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2874 SC
Chiropractor 111N00000X 2874 SC Primary

Addresses

Primary practice location

4012 Postal Way Ste a
Myrtle Beach, SC 29579-3298

Mailing address

4012 Postal Way Ste a
Myrtle Beach, SC 29579-3298
Phone (843) 236-4400

Other identifiers 4

IdentifierTypeStateIssuer
2164911OtherSCCCN
12137533OtherSCMULTIPLAN
2164911OtherSCFIRST HEALTH
GCH435MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040511000615 SC Part B Supplier - Clinic/Group Practice 8628067956 Receives reassigned benefits from 1 practitioner
Practice locations: Myrtle Beach, SC

National Provider Directory

National Provider Directory

Locations

4012 Postal Way
Ste A
Myrtle Beach, SC 29579
Phone (843) 236-4400

4022 Postal Way
Ste A
Myrtle Beach, SC 29579
Phone (843) 236-6291

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1063465045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 POSTAL WAY STE A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793298",
            "telephone_number": "843-236-4400",
            "fax_number": "843-481-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 POSTAL WAY STE A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793298",
            "telephone_number": "843-236-6291",
            "fax_number": "843-872-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYCHIROMED, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-236-4400",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "2874",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "2164911",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "12137533",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2164911",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH435",
            "state": "SC"
        }
    ],
    "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 Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.