Little River Medical Center, Inc.
NPI 1508120619 · Federally Qualified Health Center (FQHC) · Myrtle Beach, SC
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Little River Medical Center, Inc. is a Federally Qualified Health Center (FQHC) organization in Myrtle Beach, SC (NPI 1508120619).
Provider details
- NPI number
- 1508120619
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Pamela Davis, Ceo(843) 663-8001
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 3515 Caduceus Dr Ste CMyrtle Beach, SC 29588-2922Phone: (843) 663-8013Fax: (843) 663-8166
- 3515 Caduceus Dr Ste BMyrtle Beach, SC 29588-2922Phone: (843) 663-8000
- 5046 Highway 17 Byp S Ste 203Myrtle Beach, SC 29588-4503Phone: (843) 663-8013
Registry dates
- Enumerated
- 2012-07-03
- Last updated
- 2024-01-16
- Certified
- 2024-01-16
Frequently asked questions
- What is Little River Medical Center, Inc.'s NPI number?
- Little River Medical Center, Inc.'s National Provider Identifier (NPI) is 1508120619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Little River Medical Center, Inc.?
- Little River Medical Center, Inc. is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Little River Medical Center, Inc. located?
- Little River Medical Center, Inc.'s practice location on file with NPPES is 3236 Holmestown Rd, Myrtle Beach, SC 29588-7495.
- What is Little River Medical Center, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Little River Medical Center, Inc. is (843) 663-8000.
- Does Little River Medical Center, Inc. accept Medicare?
- Little River Medical Center, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Little River Medical Center, Inc.?
- The authorized official listed on Little River Medical Center, Inc.'s NPPES record is Pamela Davis, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Little River Medical Center, Inc.'s NPI active?
- Yes — Little River Medical Center, Inc.'s NPI (1508120619) is active in the NPPES registry as of the last update on 2024-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.