Little River Medical Center Inc
NPI 1629021076 · Federally Qualified Health Center (FQHC) · Little River, 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 Little River, SC (NPI 1629021076).
Provider details
- NPI number
- 1629021076
- 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
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Diabetes Educator Registered Nurse163WD0400X
Nursing Service Providers
- Dentist122300000X
Dental Providers
- Pharmacist183500000X
Pharmacy Service Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2014-05-21
Frequently asked questions
- What is Little River Medical Center Inc's NPI number?
- Little River Medical Center Inc's National Provider Identifier (NPI) is 1629021076, 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 4303 Live Oak Dr, Little River, SC 29566-9138.
- 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 (1629021076) is active in the NPPES registry as of the last update on 2014-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.