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DR. JACK DWYER SCOTT D.C.
NPI 1487878195
Chiropractor in Myrtle Beach, SC

Active since April 12, 2007Accepts Medicare Assignment
4016 RIVER OAKS DR, STE 4, MYRTLE BEACH, SC 29579(843) 742-7922 Get Directions Write a Review

NPPES record last updated: April 21, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jack Dwyer Scott D.c. NPPES

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

DR. JACK DWYER SCOTT D.C. (NPI 1487878195) is an individual chiropractor in Myrtle Beach, South Carolina, licensed in South Carolina (2788) and active in the NPI registry since April 2007. He is a graduate of Palmer College Chiropractic - West Sunnyvale (2003).

NPPES Registry Identity

NPI1487878195
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JACK DWYER SCOTTCredential: D.C.
Location Address4016 RIVER OAKS DR, STE 4Myrtle Beach, SC 29579-6673
Mailing Address4016 River Oaks Dr, Ste 4Myrtle Beach, SC 29579-6673 · (843) 903-3507 · Fax (843) 903-0687
Phone(843) 742-7922
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 2003
Enumeration DateApril 12, 2007
Last NPPES UpdateApril 21, 2016
✔ NPI 1487878195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in SC · 2788
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.
4016 RIVER OAKS DR, Myrtle Beach, SC 29579
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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

Dr. Jack Dwyer Scott D.c. 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.

PECOS PAC ID1951456078
PECOS Enrollment IDI20090826000013

Medicare Billing Reassignment

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

Advanced Medical Solution 1 LLC
Same address
Physical Medicine & Rehabilitation
4016 RIVER OAKS DRIVE
Myrtle Beach, SC 29579
  • Reassigned Medicare billing, South Carolina enrollment
  • 10 clinicians in this Medicare group
NPI 1174188502 (843) 742-7922

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
412 services51 patients
Chiropractic manipulative treatment, 5 spinal regions 98942
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.
89 services26 patients

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.

ADVANCED MEDICAL SOLUTIONS
Physical Medicine & Rehabilitation
4016 RIVER OAKS DR
MYRTLE BEACH, SC 29579
Horry County (843) 742-7922
DR. WILLIAM RUFUS MCGOWAN II D.C.
Chiropractor
4016 RIVER OAKS DR
MYRTLE BEACH, SC 29579
Horry County (970) 819-2684

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 Jack Scott's NPI number?

The NPI number for Jack Scott is 1487878195. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Jack Scott located?

Jack Scott practices at 4016 River Oaks Dr Ste 4, Myrtle Beach, SC 29579. The listed phone number is (843) 742-7922.

What is Jack Scott's specialty?

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

Is Jack Scott enrolled in Medicare?

Yes. Jack Scott 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 Jack Scott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Scott reassigns Medicare benefits to Advanced Medical Solution 1 LLC (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 Jack Scott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Scott accept?

Health plans from UnitedHealthcare list Jack Scott as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Scott was last updated on April 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.