Active NPI
Raymond A. Reiser, M.D.
- Pediatrics Physician
- Rock Hill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 36624
- Practice address
- 455 Lakeshore Pkwy
Rock Hill, SC 29730-4205 - Phone
- (803) 909-6363
- Fax
- (877) 658-8669
- NPI assigned
- Jun 18, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 36624 | SC | Primary |
Addresses
Primary practice location
455 Lakeshore Pkwy
Rock Hill, SC 29730-4205
Mailing address
455 Lakeshore Pkwy
Rock Hill, SC 29730-4205
Phone (803) 909-6363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 366240 | Medicaid | SC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36624 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little River Medical Center Inc | Current | Accepting new patients | |
| Little River Medical Center, Inc | Current | Accepting new patients | |
| Affinity Health Center | Current | Accepting new patients | |
| Affinity Health Center | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| Little River Medical Center, Inc. | Pediatrics | Current | Accepting new patients |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| Little River Medical Center, Inc. | Current | Accepting new patients | |
| Little River Medical Center, Inc. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939
3817 Main St
Loris, SC 29569
Phone (843) 663-8297
3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000
4220 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 663-8013
3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689
7724 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 839-3939
455 Lakeshore Pkwy
Rock Hill, SC 29730
Phone (803) 909-6363
Interoperability endpoints
- raymond.reiser@lrmcenter.eclinicaldirectplus.com
Organizations & group practices 11
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.
-
dba Affinity Health Center- Main
- Federally Qualified Health Center (FQHC)
- Rock Hill, SC
- NPI 1396881066
-
- Federally Qualified Health Center (FQHC)
- Little River, SC
- NPI 1629021076
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1346638483
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1184783284
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1508120619
Pediatrics
-
- Federally Qualified Health Center (FQHC)
- Loris, SC
- NPI 1619100096
-
dba McLeod Loris/Seacoast Physicians
- Certified Registered Nurse Anesthetist
- Loris, SC
- NPI 1265708119
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1669535225
-
dba Affinity Health Center-Belleview
- Federally Qualified Health Center (FQHC)
- Rock Hill, SC
- NPI 1679350391
-
dba McLeod Choice Pharmacy Seacoast
- Community/Retail Pharmacy
- Little River, SC
- NPI 1629387352
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1700107240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 LAKESHORE PKWY",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297304205",
"telephone_number": "803-909-6363",
"fax_number": "803-909-6390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 LAKESHORE PKWY",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297304205",
"telephone_number": "803-909-6363",
"fax_number": "877-658-8669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISER",
"first_name": "RAYMOND",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-18",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "36624",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "366240",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.