Greg Clayton Shirley, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2331 Issued in SC

Practice address

4201 Carolina Exchange Dr
Suite 101
Myrtle Beach, SC 29579-4394

Phone

(843) 236-6290

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Carolina Clinic of Chiropractic, LLC

  • Chiropractor
  • Myrtle Beach, SC
  • NPI 1255524922
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1144248709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 CAROLINA EXCHANGE DR",
            "address_2": "SUITE 101",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794394",
            "telephone_number": "843-236-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 CAROLINA EXCHANGE DR",
            "address_2": "SUITE 101",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794394",
            "telephone_number": "843-236-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "GREG",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2331",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH362",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vladimir Sheynman
• Christopher Shields, MD
• Vance Cutler Shields, DDS
• Priya Rani Shil
• Kristina Shinabery, PA-C
• Shiv Enterprise Group LLC
• Neal Shore, DR
• Shoreline Imaging Center
• Elainea Marie Shotwell
• Daniel Lloyd Shuler, MD

• Chiropractor in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.