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LITTLE RIVER MEDICAL CENTER, INC.
NPI 1184783284
Family Medicine in Myrtle Beach, SC

Active since December 06, 2006CLIA 42D0995519 · Microscopy
7724 N KINGS HWY, MYRTLE BEACH, SC 29572(843) 839-3939(843) 839-3946 Get Directions Write a Review

NPPES record last updated: June 14, 2011. Verified against the NPPES registry weekly; last sync: August 16, 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 1184783284) is a healthcare organization registered as a family medicine in Myrtle Beach, South Carolina and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through January 22, 2028 and lists Avangela Kay Criswell, Business Office Director, as its authorized official.

NPPES Registry Identity

NPI1184783284
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLITTLE RIVER MEDICAL CENTER, INC.
Location Address7724 N KINGS HWYMyrtle Beach, SC 29572-3041
Mailing AddressPo Box 547Little River, SC 29566-0547 · (843) 663-1013 · Fax (843) 663-1017
Phone(843) 839-3939
Fax(843) 839-3946
Organization SubpartYes
Authorized OfficialAvangela Kay CriswellBusiness Office Director · (843) 663-1013
Enumeration DateDecember 6, 2006
Last NPPES UpdateJune 14, 2011
✔ NPI 1184783284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedDentistTaxonomy 122300000X
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
7724 N KINGS HWY, Myrtle Beach, SC 29572
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Other Identifiers 4

MedicaidFQC065SC
Medicare OSCAR/certification421889
MedicaidZA9656SC
Medicare PIN1879

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

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) 42D0995519

Little River Medical Center · Myrtle Beach, SC
Active · expires Jan 22, 2028
CLIA Number42D0995519
Laboratory TypePhysician Office
Certificate Effective DateJanuary 23, 2026
Certificate Expiration DateJanuary 22, 2028
Laboratory DirectorDr. William Oconnor
Laboratory Phone(843) 839-3939
Laboratory LocationLittle River Medical Center7724 N Kings Hwy, Myrtle Beach, SC 29572
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.

Other Providers at the Same Location NPPES 5

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

WILMA J SPENCER NP
Nurse Practitioner
7724 N KINGS HWY
MYRTLE BEACH, SC 29572
Horry County (843) 663-1013
DEBORAH ANN KLICK LMSW
Social Worker
7724 N KINGS HWY
MYRTLE BEACH, SC 29572
Horry County (843) 663-8000
PAUL S COHEN M.D.
Internal Medicine
7724 N KINGS HWY
MYRTLE BEACH, SC 29572
Horry County (843) 663-8000
MRS. DAWN MARIE COFFIN MSN-FNP
Nurse Practitioner (Family)
7724 N KINGS HWY
MYRTLE BEACH, SC 29572
Horry County (843) 663-8054
DR. BENNIE L SMITH DDS
Dentist (General Practice)
7724 N KINGS HWY
MYRTLE BEACH, SC 29572
Horry County (843) 663-8000

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 1184783284. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Little River Medical Center, Inc. located?

Little River Medical Center, Inc. is located at 7724 N Kings Hwy, Myrtle Beach, SC 29572. The listed phone number is (843) 839-3939.

What is Little River Medical Center, Inc.'s specialty?

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

Does Little River Medical Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0995519) is associated with this NPI, valid through January 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Little River Medical Center, Inc. accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare 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 June 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.