NPIMap

Organization Active NPI

Rivertown Family Medicine, P.C.

  • Family Medicine Physician
  • Conway, SC
National Provider Identifier
1174529317
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0285 Issued in SC
Legal business name
RIVERTOWN FAMILY MEDICINE, P.C.
Practice address
1210 Main St
Conway, SC 29526-3633
Phone
(843) 488-4300
Fax
(843) 488-4301
NPI assigned
Jun 22, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Siena Shields Alford, D.O.NPI 1881648319
Title
Co Owner
Phone
(843) 488-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0285 SC Primary

Addresses

Primary practice location

1210 Main St
Conway, SC 29526-3633

Mailing address

1210 Main St
Conway, SC 29526-3633
Phone (843) 488-4300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174529317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 MAIN ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263633",
            "telephone_number": "843-488-4300",
            "fax_number": "843-488-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 MAIN ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263633",
            "telephone_number": "843-488-4300",
            "fax_number": "843-488-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERTOWN FAMILY MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALFORD",
        "authorized_official_first_name": "SIENA",
        "authorized_official_middle_name": "SHIELDS",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "843-488-4300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "0285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.