Myrtle Beach Spine Center, PA
NPI 1962764142 · Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician · Myrtle Beach, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Myrtle Beach Spine Center, PA is a Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician organization in Myrtle Beach, SC (NPI 1962764142).
Provider details
- NPI number
- 1962764142
- Entity type
- Organization
- Primary specialty
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Gambacorta, Owner(843) 236-9090
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Chiropractor111N00000X
Chiropractic Providers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-06-13
- Last updated
- 2024-09-05
- Certified
- 2024-09-05
Frequently asked questions
- What is Myrtle Beach Spine Center, PA's NPI number?
- Myrtle Beach Spine Center, PA's National Provider Identifier (NPI) is 1962764142, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Myrtle Beach Spine Center, PA?
- Myrtle Beach Spine Center, PA is classified in the NPPES registry as Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Myrtle Beach Spine Center, PA located?
- Myrtle Beach Spine Center, PA's practice location on file with NPPES is 100 Legends Rd Suite a, Myrtle Beach, SC 29579-7076.
- What is Myrtle Beach Spine Center, PA's phone number?
- The practice phone number listed in the NPPES registry for Myrtle Beach Spine Center, PA is (843) 236-9090.
- Does Myrtle Beach Spine Center, PA accept Medicare?
- Myrtle Beach Spine Center, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Myrtle Beach Spine Center, PA?
- The authorized official listed on Myrtle Beach Spine Center, PA's NPPES record is Michael Gambacorta, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Myrtle Beach Spine Center, PA's NPI active?
- Yes — Myrtle Beach Spine Center, PA's NPI (1962764142) is active in the NPPES registry as of the last update on 2024-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.