Coastal Connection Chiropractic Center
NPI 1992395552ActiveOrganization· Chiropractor· North Myrtle Beach, SC
Chiropractor in North Myrtle Beach, South Carolina, registered in NPPES in January 2021. The authorized official on file is Jordan Tyler Miller, DC, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1992395552 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 19, 2021 |
| Last updated in NPPES | Jan 19, 2021 |
| Certified by provider | Jan 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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