LITTLE RIVER MEDICAL CENTER INC
NPI 1053471623
Dentist in Little River, SC

Active since December 12, 2006CLIA Certified · 4 labs
4303 LIVE OAK DR, LITTLE RIVER, SC 29566(843) 663-8000(843) 663-8154 Get Directions Write a Review

NPPES record last updated: November 2, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Little River Medical Center Inc NPPES

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

LITTLE RIVER MEDICAL CENTER INC (NPI 1053471623) is a healthcare organization registered as a dentist in Little River, South Carolina and active in the NPI registry since December 2006. The organization holds 4 active CLIA laboratory certificates and lists Avangela Kay Criswell, Business Office Director, as its authorized official.

NPPES Registry Identity

NPI1053471623
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLITTLE RIVER MEDICAL CENTER INC
Location Address4303 LIVE OAK DRLittle River, SC 29566-9138
Mailing AddressPo Box 547Little River, SC 29566-0547 · (843) 663-8017 · Fax (843) 663-1017
Fax(843) 663-8154
Organization SubpartYesParent: Little River Medical Center, Inc.
Authorized OfficialAvangela Kay CriswellBusiness Office Director · (843) 663-8017
Enumeration DateDecember 12, 2006
Last NPPES UpdateNovember 2, 2012
NPI 1053471623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in SC · 4406
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4303 LIVE OAK DR, Little River, SC 29566

Other Identifiers 1

MedicaidZA9656SC

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D0251903

Little River Medical Center, Inc · Little River, SC
Active · expires Jul 19, 2028
CLIA Number42D0251903
Laboratory TypeMobile Laboratory
Certificate Effective DateJuly 20, 2026
Certificate Expiration DateJuly 19, 2028
Laboratory DirectorWilliam D. Oconnor
Laboratory Phone(843) 663-8000
Laboratory LocationLittle River Medical Center, Inc4303 Live Oak Drive, Little River, SC 29566
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 42D2334791

Little River Medical Center (aynor) · Aynor, SC
Active · expires Dec 1, 2027
CLIA Number42D2334791
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorStephanie Crawford
Laboratory Phone(843) 663-8000
Laboratory LocationLittle River Medical Center (aynor)5605 East Hwy 501, Aynor, SC 29511
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D1007790

Little River Medical Center · Myrtle Beach, SC
Active · expires Nov 24, 2027
CLIA Number42D1007790
Laboratory TypeTravel To Homeless 2 X Wk
Certificate Effective DateNovember 25, 2025
Certificate Expiration DateNovember 24, 2027
Laboratory DirectorChristine Mcginley
Laboratory Phone(843) 663-8000
Laboratory LocationLittle River Medical Center1075 Mr Joe White Avenue, Suite 101, Myrtle Beach, SC 29577
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2170424

Little River Medical Center (certification Attn Cindy Causey) · Little River, SC
Active · expires Aug 11, 2027
CLIA Number42D2170424
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorChristine Mcginely
Laboratory Phone(843) 663-8000
Laboratory LocationLittle River Medical Center (certification Attn Cindy Causey)4303 Live Oak Road, Little River, SC 29566
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Dentist
4303 LIVE OAK DR
LITTLE RIVER, SC 29566
Nurse Practitioner (Gerontology)
4303 LIVE OAK DR
LITTLE RIVER, SC 29566
Pharmacy
4303 LIVE OAK DR
LITTLE RIVER, SC 29566
Family Medicine
4303 LIVE OAK DR
LITTLE RIVER, SC 29566
Nurse Practitioner (Family)
4303 LIVE OAK DR
LITTLE RIVER, SC 29566
Dentist (General Practice)
4303 LIVE OAK DR
LITTLE RIVER, SC 29566
Dentist (General Practice)
4303 LIVE OAK DR
LITTLE RIVER, SC 29566
Social Worker (Clinical)
4303 LIVE OAK DR
LITTLE RIVER, SC 29566

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 Little River Medical Center Inc's NPI number?

The NPI number for Little River Medical Center Inc is 1053471623. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Little River Medical Center Inc located?

Little River Medical Center Inc is located at 4303 Live Oak Dr, Little River, SC 29566. The listed phone number is (843) 663-8000.

What is Little River Medical Center Inc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Does Little River Medical Center Inc hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Little River Medical Center Inc accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Little River Medical Center Inc 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 Little River Medical Center Inc was last updated on November 2, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.