MYCHIROMED, P.A.
NPI 1063465045
Chiropractor in Myrtle Beach, SC

Active since May 18, 2006
4012 POSTAL WAY STE A, MYRTLE BEACH, SC 29579(843) 236-6291(843) 872-9190 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 25, 2025, Oct 7, 2025, Jul 21, 2022 and 2 more (5 updates tracked since 2016).

About Mychiromed, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYCHIROMED, P.A. (NPI 1063465045) is a healthcare organization registered as a chiropractor in Myrtle Beach, South Carolina and active in the NPI registry since May 2006. The organization lists Neal Warren Lange, President, as its authorized official.

NPPES Registry Identity

NPI1063465045
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMYCHIROMED, P.A.
Location Address4012 POSTAL WAY STE AMyrtle Beach, SC 29579-3298
Mailing Address4012 Postal Way Ste AMyrtle Beach, SC 29579-3298 · (843) 236-4400 · Fax (843) 481-1976
Fax(843) 872-9190
Organization SubpartNo
Authorized OfficialNeal Warren LangePresident · (843) 236-4400
Enumeration DateMay 18, 2006
Last NPPES UpdateFebruary 23, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
✔ NPI 1063465045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in SC · 2874
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedClinic/CenterTaxonomy 261Q00000X · License 2874 (SC)
4012 POSTAL WAY STE A, Myrtle Beach, SC 29579

Other Identifiers 4

Other12137533SC · Multiplan
Other2164911SC · First Health
Other2164911SC · Ccn
MedicaidGCH435SC

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mychiromed, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mychiromed, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1194797548
4012 POSTAL WAY STE A
Myrtle Beach, SC 29579
(843) 236-4400
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mychiromed, P.A.'s NPI number?

The NPI number for Mychiromed, P.A. is 1063465045. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Mychiromed, P.A. located?

Mychiromed, P.A. is located at 4012 Postal Way Ste A, Myrtle Beach, SC 29579. The listed phone number is (843) 236-6291.

What is Mychiromed, P.A.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Mychiromed, P.A. enrolled in Medicare?

Yes. Mychiromed, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mychiromed, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Mychiromed, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mychiromed, P.A. was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.