LITTLE RIVER MEDICAL CENTER, INC.
NPI 1619100096
Family Medicine in Loris, SC

Active since September 01, 2009
3817 MAIN ST, LORIS, SC 29569(843) 663-8000(843) 756-6828 Get Directions Write a Review

NPPES record last updated: February 22, 2013. Verified against the NPPES registry weekly; last sync: October 25, 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 1619100096) is a healthcare organization registered as a family medicine in Loris, South Carolina and active in the NPI registry since September 2009. The organization lists Pamela R Davis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619100096
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLITTLE RIVER MEDICAL CENTER, INC.
Location Address3817 MAIN STLoris, SC 29569-3017
Mailing AddressPo Box 547Little River, SC 29566-0547 · (843) 663-8000 · Fax (843) 663-1018
Fax(843) 756-6828
Organization SubpartNo
Authorized OfficialPamela R DavisCeo · (843) 663-8001
Enumeration DateSeptember 1, 2009
Last NPPES UpdateFebruary 22, 2013
✔ NPI 1619100096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
3817 MAIN ST, Loris, SC 29569

Other Identifiers 3

Medicare PIN1879
Medicare OSCAR/certification421909
MedicaidFQC081SC

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

83

Medicare enrollment records show 83 clinicians reassign Medicare billing to Little River Medical Center, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Nurse Practitioner32
Family Practice13
Diagnostic Radiology10
Internal Medicine7
Pediatric Medicine6
Clinical Social Worker5
Mental Health Counselor2
Psychiatry2
6 other specialties6

Nearest to this location (20)

See all 83
Nurse Practitioner
NPI 1073184396
3817 MAIN ST
Loris, SC 29569
(843) 663-8000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1467703157
3817 MAIN ST
Loris, SC 29569
(843) 663-8000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1255561627
1608 MAIN ST
Conway, SC 29526
(843) 248-4700
✔ PECOS✔ Accepts Medicare17 mi
Mental Health Counselor
NPI 1326230806
164 WACCAMAW MEDICAL PARK
Conway, SC 29526
(843) 347-5060
✔ PECOS20 mi
Family Practice
NPI 1952331662
1714 HIGHWAY 17 S
North Myrtle Beach, SC 29582
(843) 361-0705
✔ PECOS✔ Accepts Medicare20 mi
Clinical Social Worker
NPI 1851833297
1415 HIGHWAY 17 S
North Myrtle Beach, SC 29582
(843) 450-8182
✔ PECOS✔ Accepts Medicare20 mi
Family Practice
NPI 1952755696
4200 CAROLINA EXCHANGE DR
Myrtle Beach, SC 29579
(843) 663-8013
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1447008222
4303 LIVE OAK DR
Little River, SC 29566
(843) 663-8000
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1932327178
4303 LIVE OAK DRIVE
Little River, SC 29566
(843) 663-8000
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1215585567
4303 LIVE OAK DR
Little River, SC 29566
(843) 663-8000
✔ PECOS✔ Accepts Medicare21 mi
Addiction Medicine
NPI 1750348421
4303 LIVE OAK DR
Little River, SC 29566
(843) 663-8013
✔ PECOS21 mi
Pediatric Medicine
NPI 1255718060
4303 LIVE OAK DR
Little River, SC 29566
(843) 663-8000
✔ PECOS21 mi
Internal Medicine
NPI 1467080531
4303 LIVE OAK DR
Little River, SC 29566
(843) 663-8000
✔ PECOS✔ Accepts Medicare21 mi
Clinical Social Worker
NPI 1992036115
4220 CAROLINA EXCHANGE DR
Myrtle Beach, SC 29579
(843) 663-8000
✔ PECOS✔ Accepts Medicare21 mi
Pediatric Medicine
NPI 1689945651
4220 CAROLINA EXCHANGE DRIVE
Myrtle Beach, SC 29579
(843) 663-8000
✔ PECOS21 mi
Internal Medicine
NPI 1134431935
4220 CAROLINA EXCHANGE DR
Myrtle Beach, SC 29579
(843) 663-8000
✔ PECOS✔ Accepts Medicare21 mi
Internal Medicine
NPI 1043508708
4220 CAROLINA EXCHANGE DR
Myrtle Beach, SC 29579
(843) 663-8371
✔ PECOS21 mi
Oral Surgery
NPI 1083863633
4220 CAROLINA EXCHANGE DR
Myrtle Beach, SC 29579
(843) 663-8000
✔ PECOS21 mi
Clinical Social Worker
NPI 1043749104
4220 CAROLINA EXCHANGE DR
Myrtle Beach, SC 29579
(843) 663-8000
✔ PECOS✔ Accepts Medicare21 mi
Certified Nurse Midwife (CNM)
NPI 1053514612
3725 RENEE DR
Myrtle Beach, SC 29579
(843) 350-1124
✔ PECOS✔ Accepts Medicare21 mi
See all 83 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 1619100096. It was assigned to this organization in the NPPES registry on September 1, 2009.

Where is Little River Medical Center, Inc. located?

Little River Medical Center, Inc. is located at 3817 Main St, Loris, SC 29569. 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 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), 83 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 Diagnostic Radiology (10). Of these, 2 practice at this address. 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 February 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.