RIVERTOWN FAMILY MEDICINE, P.C.
NPI 1174529317
Family Medicine in Conway, SC

Active since June 22, 2005CLIA 42D0940858 · Microscopy
1210 MAIN ST, CONWAY, SC 29526(843) 488-4300(843) 488-4301 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rivertown Family Medicine, P.c. NPPES

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

RIVERTOWN FAMILY MEDICINE, P.C. (NPI 1174529317) is a healthcare organization registered as a family medicine in Conway, South Carolina and active in the NPI registry since June 2005. The organization holds a CLIA Microscopy certificate valid through May 7, 2027 and lists Siena Shields Alford, Co Owner, as its authorized official.

NPPES Registry Identity

NPI1174529317
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRIVERTOWN FAMILY MEDICINE, P.C.
Location Address1210 MAIN STConway, SC 29526-3633
Mailing Address1210 Main StConway, SC 29526-3633 · (843) 488-4300 · Fax (843) 488-4301
Fax(843) 488-4301
Organization SubpartNo
Authorized OfficialSiena Shields AlfordCo Owner · (843) 488-4300
Enumeration DateJune 22, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1174529317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 0285
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1210 MAIN ST, Conway, SC 29526

Other Identifiers 2

MedicaidTL0665SC
MedicaidT19753SC

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

CLIA Laboratory Certificates CMS CLIA

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) 42D0940858

Rivertown Family Medicine PC · Conway, SC
Active · expires May 7, 2027
CLIA Number42D0940858
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorBrittany Z. Gusic
Laboratory Phone(843) 488-1700
Laboratory LocationRivertown Family Medicine PC1210 Main Street, Conway, SC 29526
CLIA data matches this NPI record on: Address Name
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.

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Primary Care)
1210 MAIN ST
CONWAY, SC 29526
Clinic/Center (Primary Care)
1210 MAIN ST
CONWAY, SC 29526
Family Medicine
1210 MAIN ST
CONWAY, SC 29526
Family Medicine
1210 MAIN ST
CONWAY, SC 29526

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 Rivertown Family Medicine, P.C.'s NPI number?

The NPI number for Rivertown Family Medicine, P.C. is 1174529317. It was assigned to this organization in the NPPES registry on June 22, 2005.

Where is Rivertown Family Medicine, P.C. located?

Rivertown Family Medicine, P.C. is located at 1210 Main St, Conway, SC 29526. The listed phone number is (843) 488-4300.

What is Rivertown Family Medicine, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Rivertown Family Medicine, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0940858) is associated with this NPI, valid through May 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rivertown Family Medicine, P.C. was last updated on August 22, 2020. 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.