LAUREN CHANTALLE KIRK
NPI 1104685569
Student in an Organized Health Care Education/Training Program in Myrtle Beach, SC
About Lauren Chantalle Kirk NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAUREN CHANTALLE KIRK (NPI 1104685569) is an individual student in an organized health care education/training program in Myrtle Beach, South Carolina and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lauren Chantalle Kirk is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Lauren Kirk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Myrtle Beach, SC 29572
- Reassigned Medicare billing, South Carolina enrollment
- 559 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MYRTLE BEACH, SC 29572
MYRTLE BEACH, SC 29572
MYRTLE BEACH, SC 29572
MYRTLE BEACH, SC 29572
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 Lauren Kirk's NPI number?
The NPI number for Lauren Kirk is 1104685569. It was assigned to this individual provider in the NPPES registry on March 18, 2024.
Where is Lauren Kirk located?
Lauren Kirk practices at 809 82nd Pkwy, Myrtle Beach, SC 29572. The listed phone number is (843) 692-3499.
What is Lauren Kirk's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Lauren Kirk enrolled in Medicare?
Yes. Lauren Kirk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Lauren Kirk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Kirk reassigns Medicare benefits to Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC). The 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 Lauren Kirk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lauren Kirk was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Lauren Chantalle Kirk · NPI 1104685569
Student in an Organized Health Care Education/Training Program provider in Myrtle Beach, South Carolina. Individual provider, active in the CMS NPPES registry since March 18, 2024.
## Identity
- **NPI:** 1104685569 (Entity type: Individual)
- **Enumerated:** March 18, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 809 82ND PKWY, Myrtle Beach, SC 29572-4607
- **Phone:** (843) 692-3499
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Acs Primary Care Physicians - Southeast PC (NPI 1861430555, Myrtle Beach, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104685569) · Data from the CMS NPPES public registry.