DR. WILLIAM JORDAN ROGERS DC
NPI 1366131070
Chiropractor in Myrtle Beach, SC

Active since May 08, 2023
1151 ROBERT M GRISSOM PKWY, MYRTLE BEACH, SC 29577(843) 839-5588(843) 839-5591 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2024, May 8, 2023 (2 updates tracked since 2023).

About Dr. William Jordan Rogers Dc NPPES

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

DR. WILLIAM JORDAN ROGERS DC (NPI 1366131070) is an individual chiropractor in Myrtle Beach, South Carolina, licensed in North Carolina (5628) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1366131070
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. WILLIAM JORDAN ROGERSCredential: DC
Location Address1151 ROBERT M GRISSOM PKWYMyrtle Beach, SC 29577-5664
Mailing Address1151 Robert M Grissom PkwyMyrtle Beach, SC 29577-5664 · (843) 839-5588 · Fax (843) 839-5591
Fax(843) 839-5591
Sole ProprietorYes
Enumeration DateMay 8, 2023
Last NPPES UpdateApril 9, 20242 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1366131070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NC · 5628
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.
1151 ROBERT M GRISSOM PKWY, Myrtle Beach, SC 29577

Other Identifiers 1

MedicaidCH4936SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William Jordan Rogers Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show William Rogers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
4501 MAIN ST, UNIT 2
Shallotte, NC 28470
  • Reassigned Medicare billing, North Carolina enrollment
  • 8 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1151 ROBERT M GRISSOM PKWY
MYRTLE BEACH, SC 29577
In Home Supportive Care
1151 ROBERT M GRISSOM PKWY
MYRTLE BEACH, SC 29577

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 William Rogers's NPI number?

The NPI number for William Rogers is 1366131070. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is William Rogers located?

William Rogers practices at 1151 Robert M Grissom Pkwy, Myrtle Beach, SC 29577. The listed phone number is (843) 839-5588.

What is William Rogers's specialty?

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

Is William Rogers enrolled in Medicare?

Yes. William Rogers is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for William Rogers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Rogers reassigns Medicare benefits to Southeastern Healthcare Centers PC (Shallotte, NC). 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 William Rogers'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 William Rogers was last updated on April 9, 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.