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: October 18, 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
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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
7724 N KINGS HWY, Myrtle Beach, SC 29572

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Little River Medical Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

79

Medicare enrollment records show 79 clinicians reassign Medicare billing to Little River Medical Center, Inc., which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Nurse Practitioner32
Family Practice13
Internal Medicine7
Clinical Social Worker6
Pediatric Medicine6
Diagnostic Radiology5
Mental Health Counselor2
Psychiatry2
6 other specialties6

Nearest to this location (20)

See all 79
Nurse Practitioner
NPI 1528554532
945 82ND PKWY
Myrtle Beach, SC 29572
(843) 497-5929
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1346641131
7724 N KINGS HWY
Myrtle Beach, SC 29572
(843) 663-8054
✔ PECOS✔ Accepts Medicare2.5 mi
Internal Medicine
NPI 1194778423
7724 N KINGS HWY
Myrtle Beach, SC 29572
(843) 663-8000
✔ PECOS2.5 mi
Internal Medicine
NPI 1174576409
7424 N KINGS HWY
Myrtle Beach, SC 29572
(843) 663-8000
✔ PECOS✔ Accepts Medicare2.7 mi
Family Practice
NPI 1952331662
1714 HIGHWAY 17 S
North Myrtle Beach, SC 29582
(843) 361-0705
✔ PECOS✔ Accepts Medicare5.4 mi
Clinical Social Worker
NPI 1851833297
1415 HIGHWAY 17 S
North Myrtle Beach, SC 29582
(843) 450-8182
✔ PECOS✔ Accepts Medicare5.8 mi
Family Practice
NPI 1952755696
4200 CAROLINA EXCHANGE DR
Myrtle Beach, SC 29579
(843) 663-8013
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1265044267
3864 RENEE DR
Myrtle Beach, SC 29579
(843) 353-2111
✔ PECOS10 mi
Clinical Social Worker
NPI 1992036115
4220 CAROLINA EXCHANGE DR
Myrtle Beach, SC 29579
(843) 663-8000
✔ PECOS✔ Accepts Medicare10 mi
Pediatric Medicine
NPI 1689945651
4220 CAROLINA EXCHANGE DRIVE
Myrtle Beach, SC 29579
(843) 663-8000
✔ PECOS10 mi
Internal Medicine
NPI 1134431935
4220 CAROLINA EXCHANGE DR
Myrtle Beach, SC 29579
(843) 663-8000
✔ PECOS✔ Accepts Medicare10 mi
Clinical Social Worker
NPI 1821348970
4220 CAROLINA EXCHANGE DRIVE
Myrtle Beach, SC 29579
(843) 663-8000
✔ PECOS✔ Accepts Medicare10 mi
Internal Medicine
NPI 1043508708
4220 CAROLINA EXCHANGE DR
Myrtle Beach, SC 29579
(843) 663-8371
✔ PECOS10 mi
Oral Surgery
NPI 1083863633
4220 CAROLINA EXCHANGE DR
Myrtle Beach, SC 29579
(843) 663-8000
✔ PECOS10 mi
Nurse Practitioner
NPI 1730552837
4220 CAROLINA EXCHANGE DR
Myrtle Beach, SC 29579
(843) 663-8000
✔ PECOS✔ Accepts Medicare10 mi
Certified Nurse Midwife (CNM)
NPI 1053514612
3725 RENEE DR
Myrtle Beach, SC 29579
(843) 350-1124
✔ PECOS✔ Accepts Medicare11 mi
Mental Health Counselor
NPI 1326230806
164 WACCAMAW MEDICAL PARK
Conway, SC 29526
(843) 347-5060
✔ PECOS12 mi
Addiction Medicine
NPI 1750348421
4303 LIVE OAK DR
Little River, SC 29566
(843) 663-8013
✔ PECOS13 mi
Pediatric Medicine
NPI 1255718060
4303 LIVE OAK DR
Little River, SC 29566
(843) 663-8000
✔ PECOS13 mi
Family Practice
NPI 1558314914
4303 LIVE OAK DRIVE
Little River, SC 29566
(843) 663-8000
✔ PECOS✔ Accepts Medicare13 mi
See all 79 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Little River Medical Center, Inc. enrolled in Medicare?

Yes. Little River Medical Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Little River Medical Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 79 clinicians in 14 Medicare specialties reassign their Medicare billing to Little River Medical Center, Inc.. 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. The largest specialties are Nurse Practitioner (32), Family Practice (13) and Internal Medicine (7). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.