LITTLE RIVER MEDICAL CENTER, INC.
NPI 1508120619
Clinic/Center - Federally Qualified Health Center (FQHC) in Myrtle Beach, SC
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 1508120619) is a healthcare organization registered as a federally qualified health center (fqhc) in Myrtle Beach, South Carolina and active in the NPI registry since July 2012. The organization maintains 3 additional practice locations and lists Pamela Davis, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 3
Other Identifiers 1
Group Practice 1
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
79Medicare enrollment records show 79 clinicians reassign Medicare billing to Little River Medical Center, Inc., which bills Medicare for the services they deliver. Of these, 9 practice at this address and 21 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 79Myrtle Beach, SC 29588
Myrtle Beach, SC 29588
Myrtle Beach, SC 29588
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 1508120619. It was assigned to this organization in the NPPES registry on July 3, 2012.
Where is Little River Medical Center, Inc. located?
Little River Medical Center, Inc. is located at 3236 Holmestown Rd, Myrtle Beach, SC 29588. 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), 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, 9 practice at this address and 21 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 Health, 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 January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Little River Medical Center, Inc. · NPI 1508120619
Federally Qualified Health Center (FQHC) organization in Myrtle Beach, South Carolina. Organization record, active in the CMS NPPES registry since July 3, 2012.
## Identity
- **NPI:** 1508120619 (Entity type: Organization)
- **Enumerated:** July 3, 2012
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Pamela Davis, CEO
## Practice location
- **Address:** 3236 HOLMESTOWN RD, Myrtle Beach, SC 29588-7495
- **Phone:** (843) 663-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 79 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (32), Family Practice (13), Internal Medicine (7); 9 practice at this address and 21 within 10 miles; [full list](https://npiprofile.com/npi/1508120619/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 16, 2024
- **Other identifiers:** Medicaid FQC117 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1508120619) · Data from the CMS NPPES public registry.