LITTLE RIVER MEDICAL CENTER INC
NPI 1629021076
Clinic/Center - Federally Qualified Health Center (FQHC) in Little River, 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 1629021076) is a healthcare organization registered as a federally qualified health center (fqhc) in Little River, South Carolina and active in the NPI registry since May 2006. The organization lists Pamela R Davis, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Other Identifiers 4
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
104Medicare enrollment records show 104 clinicians reassign Medicare billing to Little River Medical Center Inc, which bills Medicare for the services they deliver. Of these, 22 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 104Source: 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 1629021076. It was assigned to this organization in the NPPES registry on May 18, 2006.
Where is Little River Medical Center Inc located?
Little River Medical Center Inc is located at 4303 Live Oak Dr, Little River, SC 29566. 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), 104 clinicians in 16 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 (35), Family Practice (13) and Diagnostic Radiology (12). Of these, 22 practice at this address and 25 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 and 1 other insurer 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 May 21, 2014. 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.
# Little River Medical Center Inc · NPI 1629021076
Federally Qualified Health Center (FQHC) organization in Little River, South Carolina. Organization record, active in the CMS NPPES registry since May 18, 2006.
## Identity
- **NPI:** 1629021076 (Entity type: Organization)
- **Enumerated:** May 18, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Pamela Davis, CEO
## Practice location
- **Address:** 4303 LIVE OAK DR, Little River, SC 29566-9138
- **Phone:** (843) 663-8000 · **Fax:** (843) 280-2455
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 104 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (35), Family Practice (13), Diagnostic Radiology (12); 22 practice at this address and 25 within 10 miles; [full list](https://npiprofile.com/npi/1629021076/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 21, 2014
- **Other identifiers:** Medicaid ZA9656 (SC); Medicare OSCAR/certification 421827 (SC); Medicaid FQC024 (SC); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1629021076) · Data from the CMS NPPES public registry.