Carolina Clinic of Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2331 Issued in SC

Legal business name

CAROLINA CLINIC OF CHIROPRACTIC, LLC

Practice address

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

Phone

(843) 236-6290

Fax

(843) 236-6309

NPI assigned

Aug 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Greg C Shirley, DCNPI 1144248709

Title

Presedent

Phone

(843) 236-6290

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Greg Clayton Shirley, DC

  • Chiropractor
  • Myrtle Beach, SC
  • NPI 1144248709
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1255524922",
    "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",
            "fax_number": "843-236-6309"
        },
        {
            "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",
            "fax_number": "843-236-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CLINIC OF CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESEDENT",
        "authorized_official_telephone_number": "843-236-6290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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": []
}

• Michael Carge, D.O.
• Caring Hands Home Care LLC USA
• Herbert Victor Carmichael III, P.T.
• Debra Anne Carnosso, LCSW-R AND LISW-CP
• Carolina Bone & Joint Surgery Center
• Carolina Coastal Family Medicine PA
• Carolina Coastal Plastic and Reconstructive Surgery, Inc.
• Carolina Forest Chiropractic, LLC
• Carolina Forest Family Eyecare, P.a.
• Carolina Forest Family Medicine

• 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 May 17, 2013; 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.