1. Home
  2. Directory
  3. South Carolina
  4. Little River
  5. Family Medicine
  6. NPI Profile

WATERWAY PRIMARY CARE,LLC
NPI 1295165579
Family Medicine in Little River, SC

Active since November 22, 2013CLIA 42D2125566 · Waiver
3600 SEA MOUNTAIN HWY, LITTLE RIVER, SC 29566(843) 399-4848 Get Directions Write a Review

NPPES record last updated: November 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Waterway Primary Care,llc NPPES

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

WATERWAY PRIMARY CARE,LLC (NPI 1295165579) is a healthcare organization registered as a family medicine in Little River, South Carolina and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through February 8, 2027 and lists Robert Ali Faile, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1295165579
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWATERWAY PRIMARY CARE,LLC
Location Address3600 SEA MOUNTAIN HWYLittle River, SC 29566-8161
Mailing Address3600 Sea Mountain HwyLittle River, SC 29566-8161 · (843) 399-4848
Phone(843) 399-4848
Organization SubpartNo
Authorized OfficialRobert Ali FaileAuthorized Official · (843) 856-7924
Enumeration DateNovember 22, 2013
Last NPPES UpdateNovember 25, 2013
✔ NPI 1295165579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3600 SEA MOUNTAIN HWY, Little River, SC 29566
Open in Google Maps ↗

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 of Waiver 42D2125566

Waterway Primary Care · Little River, SC
Active · expires Feb 8, 2027
CLIA Number42D2125566
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorChris Boggs
Laboratory Phone(843) 281-2778
Laboratory LocationWaterway Primary Care4237 River Hills Dr, Suite 150, Little River, SC 29566
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only 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.

SOUTHERN SURGICAL GROUP, LLC
Surgery
3600 SEA MOUNTAIN HWY, SUITE A
LITTLE RIVER, SC 29566
Horry County (843) 399-9095
SOUTHERN SURGICAL, PA
Specialist
3600 SEA MOUNTAIN HWY, SUITE A
LITTLE RIVER, SC 29566
Horry County (843) 399-9774
MELANIE A HOPKINS MD
Pathology (Anatomic Pathology & Clinical Pathology)
3600 SEA MOUNTAIN HWY
LITTLE RIVER, SC 29566
Horry County (843) 399-8930
DR. KENNETH H. MINCEY MD
Surgery
3600 SEA MOUNTAIN HWY, SUITE A
LITTLE RIVER, SC 29566
Horry County (843) 399-9774
TIMOTHY ANDREW GAJEWSKI MD
Urology
3600 SEA MOUNTAIN HWY, SUITE B
LITTLE RIVER, SC 29566
Horry County (843) 399-9696

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 Waterway Primary Care,llc's NPI number?

The NPI number for Waterway Primary Care,llc is 1295165579. It was assigned to this organization in the NPPES registry on November 22, 2013.

Where is Waterway Primary Care,llc located?

Waterway Primary Care,llc is located at 3600 Sea Mountain Hwy, Little River, SC 29566. The listed phone number is (843) 399-4848.

What is Waterway Primary Care,llc's specialty?

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

Does Waterway Primary Care,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2125566) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Waterway Primary Care,llc accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Waterway Primary Care,llc 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 Waterway Primary Care,llc was last updated on November 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.