ADVANCED MEDICAL SOLUTION 1 LLC
NPI 1174188502
Physical Medicine & Rehabilitation in Myrtle Beach, SC

Active since May 01, 2019CLIA 42D2151286 · Waiver
4016 RIVER OAKS DRIVE, MYRTLE BEACH, SC 29579(843) 742-7922(843) 796-1492 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2020, May 1, 2019 (2 updates tracked since 2019).

About Advanced Medical Solution 1 Llc NPPES

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

ADVANCED MEDICAL SOLUTION 1 LLC (NPI 1174188502) is a healthcare organization registered as a physical medicine & rehabilitation in Myrtle Beach, South Carolina and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through July 16, 2028 and lists Jack Dwyer Scott, Owner, as its authorized official.

NPPES Registry Identity

NPI1174188502
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameADVANCED MEDICAL SOLUTION 1 LLC
Location Address4016 RIVER OAKS DRIVEMyrtle Beach, SC 29579-8487
Mailing Address4016 River Oaks DriveMyrtle Beach, SC 29579-8487 · (843) 742-7922 · Fax (843) 796-1492
Fax(843) 796-1492
Organization SubpartNo
Authorized OfficialJack Dwyer ScottOwner · (843) 742-7922
Enumeration DateMay 1, 2019
Last NPPES UpdateOctober 16, 20202 updates tracked since enumeration
NPPES CertifiedOctober 16, 2020
✔ NPI 1174188502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedChiropractorTaxonomy 111N00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedNurse PractitionerTaxonomy 363L00000X
4016 RIVER OAKS DRIVE, Myrtle Beach, SC 29579

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Medical Solution 1 Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Advanced Medical Solution 1 LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner5
Chiropractic3
Physical Medicine and Rehabilitation1
Physical Therapist in Private Practice1

Clinicians, nearest first (10)

Chiropractic
NPI 1487878195
4016 RIVER OAKS DR STE 4
Myrtle Beach, SC 29579
(843) 742-7922
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306459417
4999 CAROLINA FOREST BLVD STE 9
Myrtle Beach, SC 29579
(843) 790-0480
✔ PECOS0.1 mi
Physical Medicine and Rehabilitation
NPI 1093774028
210 VILLAGE CENTER BLVD STE 200
Myrtle Beach, SC 29579
(843) 236-3222
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1386278422
4612 OLEANDER DRIVE UNIT 102
Myrtle Beach, SC 29577
(843) 945-8117
✔ PECOS1.6 mi
Chiropractic
NPI 1083751622
1151 ROBERT GRISSOM PARKWAY
Myrtle Beach, SC 29579
(843) 839-5588
✔ Accepts Medicare3.6 mi
Nurse Practitioner
NPI 1902275480
1501 9TH AVE
Conway, SC 29526
(843) 248-0104
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1356644322
1113 CHURCH ST
Conway, SC 29526
(843) 248-6269
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1568942696
1808 SECOND BAXTER XING
Fort Mill, SC 29708
(803) 802-2225
✔ PECOS149 mi
Chiropractic
NPI 1386199404
173 ESSEX AVE STE 103
Metuchen, NJ 08840
(848) 260-0140
✔ Accepts Medicare529 mi
Physical Therapist in Private Practice
NPI 1740580661
1728 N RICHMOND RD
Mchenry, IL 60051
(815) 578-8905
✔ Accepts Medicare783 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2151286

Advanced Medical Solutions · Myrtle Beach, SC
Active · expires Jul 16, 2028
CLIA Number42D2151286
Laboratory TypePhysical Medicine
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorMr. Jack D. Scott
Laboratory Phone(843) 742-7922
Laboratory LocationAdvanced Medical Solutions4016 River Oaks Drive, Myrtle Beach, SC 29579
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Advanced Medical Solution 1 LLC's NPI number?

The NPI number for Advanced Medical Solution 1 LLC is 1174188502. It was assigned to this organization in the NPPES registry on May 1, 2019.

Where is Advanced Medical Solution 1 LLC located?

Advanced Medical Solution 1 LLC is located at 4016 River Oaks Drive, Myrtle Beach, SC 29579. The listed phone number is (843) 742-7922.

What is Advanced Medical Solution 1 LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Advanced Medical Solution 1 LLC enrolled in Medicare?

Yes. Advanced Medical Solution 1 LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Medical Solution 1 LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Advanced Medical Solution 1 LLC. 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. The largest specialties are Nurse Practitioner (5), Chiropractic (3) and Physical Medicine and Rehabilitation (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Medical Solution 1 LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2151286) is associated with this NPI, valid through July 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Medical Solution 1 LLC was last updated on October 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.