Individual provider Active NPI

Marie P. Livigni, DO

  • Internal Medicine Physician
  • Conway, SC
National Provider Identifier
1558343897
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1573 Issued in SC
Practice address
251 University Blvd Ste B
Conway, SC 29526-8834
Phone
(843) 347-1012
Fax
(843) 347-1218
NPI assigned
Nov 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1573 SC Primary

Addresses

Primary practice location

251 University Blvd Ste B
Conway, SC 29526-8834

Mailing address

300 Singleton Ridge Rd
Attn Credentialing
Conway, SC 29526-9142
Phone (843) 234-6946

Other practice location 1

2367B Cypress Cir
Conway, SC 29526-8921
Phone (843) 349-1001

Other practice location 2

251 University Blvd Ste A
Conway, SC 29526-8834
Phone (843) 347-0524

Other identifiers 1

IdentifierTypeStateIssuer
015735MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120830000496 SC Practitioner - Internal Medicine 7113950338 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1573SCMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Hospital, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Conway Hospital, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Griffin Faculty Physicians, Inc. Internal Medicine Past Accepting new patients
Conway Hospital, Inc. Internal Medicine Past Accepting new patients

Locations

251 University Blvd
Ste B
Conway, SC 29526
Phone (843) 347-1012

251 University Blvd
Ste A
Conway, SC 29526
Phone (843) 347-0524

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

2367B Cypress Cir
Conway, SC 29526
Phone (843) 349-1001

Interoperability endpoints

  • Direct secure messaging: mlivigni@direct.wtbyhosp.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1558343897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "address_2": "ATTN CREDENTIALING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-234-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 UNIVERSITY BLVD STE B",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268834",
            "telephone_number": "843-347-1012",
            "fax_number": "843-347-1218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2367B Cypress Cir",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295268921",
            "country_code": "US",
            "telephone_number": "843-349-1001",
            "fax_number": "843-349-1008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 University Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295268834",
            "country_code": "US",
            "telephone_number": "843-347-0524",
            "fax_number": "843-347-0655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVIGNI",
        "first_name": "MARIE",
        "middle_name": "P.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "1573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015735",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.