THE BACK SHAK LLC
NPI 1821686460
Chiropractor in Myrtle Beach, SC

Q: What is The Back Shak LLC's NPI number?

The NPI number for The Back Shak LLC is 1821686460. It was assigned to this organization in the NPPES registry on January 8, 2021.

Q: What is The Back Shak LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for The Back Shak LLC was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 08, 2021

223 FRESH DR UNIT B, MYRTLE BEACH, SC 29579(843) 903-5772(843) 492-4020 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About The Back Shak Llc NPPES

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

THE BACK SHAK LLC (NPI 1821686460) is a healthcare organization registered as a chiropractor in Myrtle Beach, South Carolina and active in the NPI registry since January 2021. The organization lists Nicole Causey, Owner, as its authorized official.

NPPES Registry Identity

NPI1821686460

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameTHE BACK SHAK LLC

Location Address223 FRESH DR UNIT BMyrtle Beach, SC 29579-4462

Mailing Address777 Dragonfly DrMyrtle Beach, SC 29579-5263 · (843) 267-0560

Phone(843) 903-5772

Fax(843) 492-4020

Organization SubpartNo

Authorized OfficialNicole CauseyOwner · (843) 267-0560

Enumeration DateJanuary 8, 2021

NPPES CertifiedJanuary 8, 2021

✔ NPI 1821686460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

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.

223 FRESH DR UNIT B, Myrtle Beach, SC 29579

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Back Shak Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateSouth CarolinaEnrollment IDO20220105000267Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to The Back Shak LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Zachary Causey, DC

Chiropractic

NPI 1013025931

223 FRESH DR UNIT B
Myrtle Beach, SC 29579

(843) 903-5772

✔ Accepts MedicareSame 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 The Back Shak LLC's NPI number?

The NPI number for The Back Shak LLC is 1821686460. It was assigned to this organization in the NPPES registry on January 8, 2021.

Where is The Back Shak LLC located?

The Back Shak LLC is located at 223 Fresh Dr Unit B, Myrtle Beach, SC 29579. The listed phone number is (843) 903-5772.

What is The Back Shak LLC's specialty?

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

Is The Back Shak LLC enrolled in Medicare?

Yes. The Back Shak LLC is registered in the Medicare PECOS enrollment system.

When is The Back Shak LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Carolina, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through The Back Shak LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to The Back Shak 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for The Back Shak LLC was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.