Rivertown Family Medicine, P.C.

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

Organization subpart

No

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.

Title

Co Owner

Phone

(843) 488-4300

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Shelley Jackson, M.D.

  • Family Medicine Physician
  • Daniel Island, SC
  • NPI 1558318527
  NPD

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T19753",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TL0665",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Constance Marie Rinaldi, PTA
• Wendy C Ritter, CRNA
• River of Life Counseling & Wellness
• Jennifer Rivera
• Rivertown Dental Care
• Rivertown Pharmacy Inc
• Rivertown Pharmacy Inc
• Rivertown Primary Medical
• Rivertown Wellness Center, LLC
• Brittney Marie Robbins

• Family Medicine Physician in Conway, SC
• Providers in Conway, SC by specialty
• Family Medicine Physician in South Carolina

• 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.