Active NPI
Dr G MD, LLC
Doing business as Rivertown Family Medicine
- Primary Care Clinic/Center
- Conway, SC
National Provider Identifier
1629881479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- DR G MD, LLC
- Doing business as
- Rivertown Family Medicine
- Practice address
- 1210 Main St
Conway, SC 29526-3633 - Phone
- (843) 488-1700
- Fax
- (843) 488-4301
- NPI assigned
- Jan 27, 2025
- Last updated
- Jan 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brittany Zumpetta Gusic, MD
- Title
- Owner
- Phone
- (304) 820-6542
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
1210 Main St
Conway, SC 29526-3633
Mailing address
1210 Main St
Conway, SC 29526-3633
Phone (843) 488-1700
Other names 1
- Rivertown Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1737936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737936000000",
"number": "1629881479",
"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": "843-488-1700",
"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": "843-488-1700",
"fax_number": "843-488-4301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR G MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-27",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A",
"authorized_official_last_name": "GUSIC",
"authorized_official_first_name": "BRITTANY",
"authorized_official_middle_name": "ZUMPETTA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-820-6542",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rivertown Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.