COASTAL CONNECTION CHIROPRACTIC CENTER
NPI 1992395552
Chiropractor in North Myrtle Beach, SC

Q: What is Coastal Connection Chiropractic Center's specialty?

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

Active since January 19, 2021

800 25TH AVE S STE A, NORTH MYRTLE BEACH, SC 29582(843) 251-9526 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Coastal Connection Chiropractic Center NPPES

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

COASTAL CONNECTION CHIROPRACTIC CENTER (NPI 1992395552) is a healthcare organization registered as a chiropractor in North Myrtle Beach, South Carolina and active in the NPI registry since January 2021. The organization lists Jordan Tyler Miller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1992395552

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameCOASTAL CONNECTION CHIROPRACTIC CENTER

Location Address800 25TH AVE S STE ANorth Myrtle Beach, SC 29582-4320

Mailing Address800 25th Ave S Ste ANorth Myrtle Beach, SC 29582-4320 · (843) 251-9526

Phone(843) 251-9526

Organization SubpartNo

Authorized OfficialJordan Tyler MillerCeo · (843) 251-9526

Enumeration DateJanuary 19, 2021

NPPES CertifiedJanuary 12, 2021

✔ NPI 1992395552 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.

800 25TH AVE S STE A, North Myrtle Beach, SC 29582

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Other Names 1

Doing Business AsCoastal Connection Chiropractic Center

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coastal Connection Chiropractic Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Coastal Connection Chiropractic Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jordan Miller, D.C.

Chiropractic

NPI 1780173393

211 HIGHWAY 17 N STE 106
North Myrtle Beach, SC 29582

(843) 251-9526

✔ Accepts Medicare2.6 mi

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 Coastal Connection Chiropractic Center's NPI number?

The NPI number for Coastal Connection Chiropractic Center is 1992395552. It was assigned to this organization in the NPPES registry on January 19, 2021.

Where is Coastal Connection Chiropractic Center located?

Coastal Connection Chiropractic Center is located at 800 25th Ave S Ste A, North Myrtle Beach, SC 29582. The listed phone number is (843) 251-9526.

What is Coastal Connection Chiropractic Center's specialty?

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

Is Coastal Connection Chiropractic Center enrolled in Medicare?

Yes. Coastal Connection Chiropractic Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Connection Chiropractic Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Coastal Connection Chiropractic Center. 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 Coastal Connection Chiropractic Center was last updated on January 19, 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.