LITTLE RIVER MEDICAL CENTER, INC
NPI 1346638483
Clinic/Center - Federally Qualified Health Center (FQHC) in Myrtle Beach, SC

Active since December 23, 2014
4220 CAROLINA EXCHANGE BLVD, MYRTLE BEACH, SC 29579(843) 663-8000(843) 663-8117 Get Directions Write a Review

NPPES record last updated: December 23, 2014. 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 1346638483) is a healthcare organization registered as a federally qualified health center (fqhc) in Myrtle Beach, South Carolina and active in the NPI registry since December 2014. The organization lists Pamela R Davis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1346638483
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLITTLE RIVER MEDICAL CENTER, INC
Location Address4220 CAROLINA EXCHANGE BLVDMyrtle Beach, SC 29579
Mailing AddressPo Box 547Little River, SC 29566-0547 · (843) 663-8000 · Fax (843) 663-8117
Fax(843) 663-8117
Organization SubpartNo
Authorized OfficialPamela R DavisCeo · (843) 663-8001
Enumeration DateDecember 23, 2014
✔ NPI 1346638483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
4220 CAROLINA EXCHANGE BLVD, Myrtle Beach, SC 29579

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

90

Medicare enrollment records show 90 clinicians reassign Medicare billing to Little River Medical Center, Inc, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 29 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Nurse Practitioner31
Family Practice13
Diagnostic Radiology11
Dentist7
Internal Medicine7
Pediatric Medicine6
Clinical Social Worker5
Mental Health Counselor2
7 other specialties8

Nearest to this location (20)

See all 90
Clinical Social Worker
NPI 1992036115
4220 CAROLINA EXCHANGE DR
Myrtle Beach, SC 29579
(843) 663-8000
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1689945651
4220 CAROLINA EXCHANGE DRIVE
Myrtle Beach, SC 29579
(843) 663-8000
✔ PECOSSame address
Dentist
NPI 1275687691
4220 CAROLINA EXCHANGE DR
Myrtle Beach, SC 29579
(843) 663-8000
✔ PECOSSame address
Internal Medicine
NPI 1134431935
4220 CAROLINA EXCHANGE DR
Myrtle Beach, SC 29579
(843) 663-8000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1043508708
4220 CAROLINA EXCHANGE DR
Myrtle Beach, SC 29579
(843) 663-8371
✔ PECOSSame address
Oral Surgery
NPI 1083863633
4220 CAROLINA EXCHANGE DR
Myrtle Beach, SC 29579
(843) 663-8000
✔ PECOSSame address
Dentist
NPI 1811943798
4220 CAROLINA EXCHANGE DRIVE
Myrtle Beach, SC 29579
(843) 663-8000
✔ PECOSSame address
Clinical Social Worker
NPI 1043749104
4220 CAROLINA EXCHANGE DR
Myrtle Beach, SC 29579
(843) 663-8000
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1538715982
4220 CAROLINA EXCHANGE DR
Myrtle Beach, SC 29579
(843) 663-8000
✔ PECOSSame address
Nurse Practitioner
NPI 1730552837
4220 CAROLINA EXCHANGE DR
Myrtle Beach, SC 29579
(843) 663-8000
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1053514612
3725 RENEE DR
Myrtle Beach, SC 29579
(843) 350-1124
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1952755696
4200 CAROLINA EXCHANGE DR
Myrtle Beach, SC 29579
(843) 663-8013
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1265044267
3864 RENEE DR
Myrtle Beach, SC 29579
(843) 353-2111
✔ PECOS0.2 mi
Mental Health Counselor
NPI 1326230806
164 WACCAMAW MEDICAL PARK
Conway, SC 29526
(843) 347-5060
✔ PECOS2.5 mi
Nurse Practitioner
NPI 1619481397
834 FARRAR DR
Conway, SC 29526
(843) 347-9487
✔ PECOS✔ Accepts Medicare3.3 mi
Family Practice
NPI 1255561627
1608 MAIN ST
Conway, SC 29526
(843) 248-4700
✔ PECOS✔ Accepts Medicare8.1 mi
Internal Medicine
NPI 1174576409
7424 N KINGS HWY
Myrtle Beach, SC 29572
(843) 663-8000
✔ PECOS✔ Accepts Medicare8.4 mi
Nurse Practitioner
NPI 1528554532
945 82ND PKWY
Myrtle Beach, SC 29572
(843) 497-5929
✔ PECOS✔ Accepts Medicare8.5 mi
Clinical Social Worker
NPI 1609598911
3236 HOLMESTOWN RD
Myrtle Beach, SC 29588
(843) 663-8000
✔ PECOS✔ Accepts Medicare9.7 mi
Pediatric Medicine
NPI 1912945239
3236 HOLMESTOWN RD
Myrtle Beach, SC 29588
(843) 663-8000
✔ PECOS9.7 mi
See all 90 clinicians

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

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 1346638483. It was assigned to this organization in the NPPES registry on December 23, 2014.

Where is Little River Medical Center, Inc located?

Little River Medical Center, Inc is located at 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579. 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 Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

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), 90 clinicians in 15 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 (31), Family Practice (13) and Diagnostic Radiology (11). Of these, 10 practice at this address and 29 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 December 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.